Sonia Jackson, | |
490 Dunlop Ln Bldg 2, Clarksville, TN 37040-5007 | |
(931) 245-8100 | |
Not Available |
Full Name | Sonia Jackson |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 9 Years |
Location | 490 Dunlop Ln Bldg 2, Clarksville, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760879993 | NPI | - | NPPES |
Q042787 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 60534 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tennova Healthcare-clarksville | Clarksville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premier Medical Group Pc | 9739084088 | 37 |
Entity Name | Premier Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740242957 PECOS PAC ID: 9739084088 Enrollment ID: O20031201000512 |
Mailing Address | Practice Location Address |
---|---|
Sonia Jackson, Po Box 3799, Clarksville, TN 37043-3799 Ph: (931) 245-7000 | Sonia Jackson, 490 Dunlop Ln Bldg 2, Clarksville, TN 37040-5007 Ph: (931) 245-8100 |
Roberto Tapia, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 490 Dunlop Ln Bldg 2, Clarksville, TN 37040 Phone: 931-245-8100 | |
Dr. Gary L Larkins, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1824 Memorial Dr, Clarksville, TN 37043 Phone: 931-552-6070 Fax: 931-552-9896 | |
Dr. Arif Mahood, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 104 Iris Court, Clarksville, TN 37042 Phone: 931-431-6670 Fax: 931-221-3400 | |
Audrey Hicks, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1824 Memorial Dr, Clarksville, TN 37043 Phone: 931-552-6070 Fax: 931-552-9896 | |
Dr. Jeffrey V Anderson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 490 Dunlop Ln, Clarksville, TN 37040 Phone: 931-245-8100 Fax: 931-245-8161 | |
Dr. Donald A Crawford, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1824 Memorial Dr, Clarksville, TN 37043 Phone: 931-552-6070 Fax: 931-552-9896 | |
Dr. William D Mcintosh, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2292 Dalton Dr, Suite C, Clarksville, TN 37043 Phone: 931-645-5595 Fax: 931-645-5596 |