Gary L Jackson, CRNA | |
4100 Summerhill Rd, Texarkana, TX 75503-2732 | |
(903) 735-9802 | |
(903) 735-9806 |
Full Name | Gary L Jackson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 46 Years |
Location | 4100 Summerhill Rd, Texarkana, Texas |
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 |
---|---|---|---|
1700884947 | NPI | - | NPPES |
83137C | Other | TX | BLUE CROSS |
84320 | Other | AR | BLUE CROSS |
002851601 | Medicaid | TX | |
117307701 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 231425 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus St Michael Health System | Texarkana, TX | Hospital |
Christus Mother Frances Hospital | Tyler, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christus Health Ark-la-tex | 2264325588 | 47 |
Entity Name | Northstar Anesthesia Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
Entity Name | Christus Health Ark-la-tex |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184623266 PECOS PAC ID: 2264325588 Enrollment ID: O20050324001186 |
Entity Name | Clinical Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518265966 PECOS PAC ID: 8325217904 Enrollment ID: O20110816000816 |
Entity Name | Youngs Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
Entity Name | Anesthesiology Associates Of Texarkana Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790101384 PECOS PAC ID: 9436380508 Enrollment ID: O20140403000237 |
Entity Name | Emergenchealth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
Mailing Address | Practice Location Address |
---|---|
Gary L Jackson, CRNA 4100 Summerhill Rd, Texarkana, TX 75503-2732 Ph: (903) 735-9802 | Gary L Jackson, CRNA 4100 Summerhill Rd, Texarkana, TX 75503-2732 Ph: (903) 735-9802 |
Mr. Brandon Wiley, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806 | |
Richard Loeffler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Pine St, Texarkana, TX 75501 Phone: 903-427-3851 | |
Caleb Allen Bennett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 469-955-9423 | |
Brent Willis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 203 La Grange Dr., Texarkana, TX 75501 Phone: 936-645-5428 | |
Charles David Lummus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806 | |
John Matt Hester, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806 | |
Paul Mitchell James, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806 |