William M Jackson, MD | |
955 Ribaut Rd, Beaufort, SC 29902-5441 | |
(843) 522-5130 | |
(843) 522-5538 |
Full Name | William M Jackson |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 35 Years |
Location | 955 Ribaut Rd, Beaufort, South Carolina |
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 |
---|---|---|---|
1205873395 | NPI | - | NPPES |
154772 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 15477 (South Carolina) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 15477 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaufort County Memorial Hospital | Beaufort, SC | Hospital |
Candler Hospital | Savannah, GA | Hospital |
Hampton Regional Medical Center | Varnville, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beaufort Medical Imaging Inc | 6901795541 | 8 |
Entity Name | Beaufort Medical Imaging Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881617843 PECOS PAC ID: 6901795541 Enrollment ID: O20040312000291 |
Mailing Address | Practice Location Address |
---|---|
William M Jackson, MD Po Box 49009, Greenwood, SC 29649-0001 Ph: (864) 223-3070 | William M Jackson, MD 955 Ribaut Rd, Beaufort, SC 29902-5441 Ph: (843) 522-5130 |
Vincent Irish, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 955 Ribaut Rd, Beaufort, SC 29902 Phone: 843-522-5200 | |
Thurman Ray Sherbert, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 843-228-5577 Fax: 843-228-5196 | |
Erik Eadie, MD Radiology Medicare: Medicare Enrolled Practice Location: 955 Ribaut Rd, Beaufort, SC 29902 Phone: 843-522-5200 | |
Clyde P. Blalock, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 955 Ribaut Rd, Beaufort, SC 29902 Phone: 843-522-5130 Fax: 843-522-5538 | |
Eric B. Billig, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 955 Ribaut Rd, Beaufort, SC 29902 Phone: 843-522-5130 Fax: 843-522-5538 | |
Dr. Mark Earl Bomia, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 843-228-5440 |