Theresa G Jackson, MD | |
3640 High St, Suite 2a, Portsmouth, VA 23707-3213 | |
(757) 397-6930 | |
(757) 397-4864 |
Full Name | Theresa G Jackson |
---|---|
Gender | Female |
Speciality | Physical Medicine And Rehabilitation |
Experience | 35 Years |
Location | 3640 High St, Portsmouth, Virginia |
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 |
---|---|---|---|
1245239227 | NPI | - | NPPES |
005602785 | Medicaid | VA | |
080007399 | Other | VA | MEDICARE INDIVIDUAL PROVIDER ID |
P00799688 | Other | VA | RR MEICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101050002 (Virginia) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 0101050002 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bon Secours Home Care | Suffolk, VA | Home health agency |
Bon Secours Maryview Medical Center | Portsmouth, VA | Hospital |
Sentara Obici Hospital | Suffolk, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bon Secours Medical Group Hampton Roads Specialty Care Llc | 3173955671 | 137 |
Entity Name | Bon Secours Medical Group Hampton Roads Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629637475 PECOS PAC ID: 3173955671 Enrollment ID: O20191122000258 |
Mailing Address | Practice Location Address |
---|---|
Theresa G Jackson, MD 3640 High St, Suite 2a, Portsmouth, VA 23707-3213 Ph: (757) 397-6930 | Theresa G Jackson, MD 3640 High St, Suite 2a, Portsmouth, VA 23707-3213 Ph: (757) 397-6930 |
Mrs. Joan L Redd, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3636 High St, Portsmouth, VA 23707 Phone: 757-398-4160 Fax: 757-398-7312 | |
Ivan D Hinnant, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Navy Medical Center, Portsmouth, VA 23708 Phone: 757-953-1416 | |
David Daniel Alcantara, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1040 University Blvd, Mast One Suite 200, Portsmouth, VA 23703 Phone: 757-397-6930 Fax: 757-393-4864 | |
Anna-christina Bevelaqua, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1040 University Blvd Ste 200, Portsmouth, VA 23703 Phone: 757-397-6930 Fax: 757-393-4864 | |
Reeta M Arora, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3640 High St, Ste 2a, Portsmouth, VA 23707 Phone: 757-397-6930 Fax: 757-397-4864 |