| Antonia Jackson, | |
|
5031 Gander Rd W, Dayton, OH 45424-4508 | |
| (937) 343-1760 | |
| Not Available |
| Full Name | Antonia Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 5031 Gander Rd W, Dayton, Ohio |
| 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 |
|---|---|---|---|
| 1356763593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 398426 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0030393 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| First Priority Urgent Care Llc | 3577848316 | 6 |
| Entity Name | Vpa Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932386059 PECOS PAC ID: 9234041948 Enrollment ID: O20031119000596 |
| Entity Name | The Little Clinic Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982761896 PECOS PAC ID: 7719087584 Enrollment ID: O20070709000336 |
| Entity Name | Cg Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982903951 PECOS PAC ID: 6608052196 Enrollment ID: O20110518000216 |
| Entity Name | First Priority Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902343031 PECOS PAC ID: 3577848316 Enrollment ID: O20170317002081 |
| Entity Name | Mid-south Home Care Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881391597 PECOS PAC ID: 4385961093 Enrollment ID: O20230323001347 |
| Mailing Address | Practice Location Address |
|---|---|
| Antonia Jackson, 7259 S Bingham Junction Blvd, Midvale, UT 84047-4860 Ph: (800) 453-3030 | Antonia Jackson, 5031 Gander Rd W, Dayton, OH 45424-4508 Ph: (937) 343-1760 |
David Lee Evers, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 122 Wyoming St, Dayton, OH 45409 Phone: 937-223-4461 Fax: 937-449-7603 | |
Kimberly Kay Myers, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 W Elmwood Dr, Suite 1000, Dayton, OH 45459 Phone: 937-224-8200 Fax: 937-224-1770 | |
Joni Abramczyk, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 Yankee Park Pl, Dayton, OH 45458 Phone: 937-439-4949 | |
Angela Marie Thompson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7677 Yankee St Ste 110, Dayton, OH 45459 Phone: 800-824-9861 | |
Rosanne Cecilia Jones, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-4000 Fax: 937-641-4500 | |
Kimberly Wade Young, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8120 Garnet Dr, Dayton, OH 45458 Phone: 833-510-4357 | |
Mr. Kenneth Levi Moore Iii, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5981 Far Hills Ave, Dayton, OH 45429 Phone: 937-438-5954 |