William Clay Jackson, MD | |
7945 Wolf River Blvd, Germantown, TN 38138-1762 | |
(901) 683-0055 | |
(901) 685-2969 |
Full Name | William Clay Jackson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 26 Years |
Location | 7945 Wolf River Blvd, Germantown, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407858368 | NPI | - | NPPES |
01751779 | Medicaid | MS | |
1508274 | Medicaid | TN | |
155538001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 31696 (Tennessee) | Secondary |
207QH0002X | Family Medicine - Hospice And Palliative Medicine | 31696 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
Baptist Memorial Hospital Tipton | Covington, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Primary Care Group, Llc | 0941480131 | 107 |
The West Clinic, Pllc | 2668360579 | 107 |
The West Clinic, Pllc | 2668360579 | 107 |
Entity Name | The West Clinic, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447276605 PECOS PAC ID: 2668360579 Enrollment ID: O20040315000610 |
Entity Name | Primary Care Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093016651 PECOS PAC ID: 0941480131 Enrollment ID: O20110204000483 |
Entity Name | Carelon Medical Partners, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20140424001338 |
Mailing Address | Practice Location Address |
---|---|
William Clay Jackson, MD 7714 Poplar Ave Ste 200, Germantown, TN 38138-3941 Ph: (901) 683-0055 | William Clay Jackson, MD 7945 Wolf River Blvd, Germantown, TN 38138-1762 Ph: (901) 683-0055 |
Dr. Wesley Owen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 S Germantown Rd, Germantown, TN 38138 Phone: 901-759-3100 | |
Lee Wilkes Mccallum, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1385 W Brierbrook Rd, Germantown, TN 38138 Phone: 901-752-2300 Fax: 901-752-2385 | |
Calvin Jeffrey Mullins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7655 Poplar Ave, Bldg A, Suite 340, Germantown, TN 38138 Phone: 901-752-2300 Fax: 901-516-1399 | |
Nora Elizabeth Maldonado, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9047 Poplar Ave Ste 105, Germantown, TN 38138 Phone: 901-752-2300 Fax: 901-752-2367 | |
Sailaja Raju, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1941 S Germantown Rd Ste 103, Germantown, TN 38138 Phone: 901-754-8880 Fax: 901-754-8883 | |
Dr. Heather Sehnert Baldwin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7550 Wolf River Blvd, Suite 200, Germantown, TN 38138 Phone: 901-542-6838 Fax: 901-542-6869 | |
Richard Kyle Hayes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9047 Poplar Ave Ste 105, Germantown, TN 38138 Phone: 901-752-2300 Fax: 901-752-2367 |