Cory David Jackson, FNP-BC | |
1340 Hal Greer Blvd, Huntington, WV 25701-3804 | |
(304) 399-6727 | |
(304) 399-6726 |
Full Name | Cory David Jackson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 1340 Hal Greer Blvd, Huntington, West Virginia |
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 |
---|---|---|---|
1194340687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 96293 (West Virginia) | Primary |
163WE0003X | Registered Nurse - Emergency | 96293 (West Virginia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
King's Daughters' Medical Center | Ashland, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medexpress Urgent Care Inc West Virginia | 1254487101 | 114 |
Entity Name | Medexpress Urgent Care Inc West Virginia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912133315 PECOS PAC ID: 1254487101 Enrollment ID: O20090918000219 |
Entity Name | Allied West Virginia Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487109104 PECOS PAC ID: 8325326648 Enrollment ID: O20161020001514 |
Entity Name | Racine Observation Medical Group, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588196851 PECOS PAC ID: 1254601578 Enrollment ID: O20170719003225 |
Mailing Address | Practice Location Address |
---|---|
Cory David Jackson, FNP-BC 5507 Shawnee Dr, Huntington, WV 25705-3305 Ph: (304) 690-0320 | Cory David Jackson, FNP-BC 1340 Hal Greer Blvd, Huntington, WV 25701-3804 Ph: (304) 399-6727 |
Katrina Nicole Watkins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2828 1st Ave Ste 204, Huntington, WV 25702 Phone: 304-525-7111 | |
Charles Jason Smith, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4540 Us Route 60, Huntington, WV 25705 Phone: 304-525-7111 | |
Eric L. Ping, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2828 1st Ave, Suite 200, Huntington, WV 25702 Phone: 304-399-7530 Fax: 304-399-7532 | |
Mr. Bobby Lee Marcum, C-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1340 Hal Greer Boulevard, Attn: Tammie Silva, Huntington, WV 25701 Phone: 304-526-2200 Fax: 304-526-2139 | |
Mrs. Heather Payne, FNP-BC, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Spring Valley Dr, Huntington, WV 25704 Phone: 304-429-6755 | |
Ms. Patricia S Wright, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2828 1st Ave, Huntington, WV 25702 Phone: 304-529-0483 Fax: 304-781-2687 | |
Mrs. Carla Whitney Waugh, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1540 Spring Valley Dr, Huntington, WV 25704 Phone: 304-429-6741 Fax: 304-429-7588 |