Mr Jonathan Wesley Jackson, CRNA | |
500 Lauchwood Drive, Laurinburg, NC 28352-5501 | |
(910) 610-4011 | |
(910) 276-9412 |
Full Name | Mr Jonathan Wesley Jackson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 500 Lauchwood Drive, Laurinburg, North 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 |
---|---|---|---|
1629273735 | NPI | - | NPPES |
077609 | Other | NC | CCNA CERTIFICATION |
8053701 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | APRN3271 (South Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 190408 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Scotland Memorial Hospital | Laurinburg, NC | Hospital |
Wilson Medical Center | Wilson, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Scotland Memorial Hospital, Inc | 0648208504 | 100 |
East Carolina Anesthesia Associates Pllc | 5092720813 | 473 |
Entity Name | Pinehurst Surgical Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962434324 PECOS PAC ID: 4587561394 Enrollment ID: O20031218000239 |
Entity Name | Firsthealth Of The Carolinas Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053482596 PECOS PAC ID: 8820909377 Enrollment ID: O20040308000442 |
Entity Name | Scotland Memorial Hospital, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407840374 PECOS PAC ID: 0648208504 Enrollment ID: O20050803000659 |
Entity Name | East Carolina Anesthesia Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791 |
Entity Name | North Carolina Anesthesia Partners Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164694782 PECOS PAC ID: 9436237864 Enrollment ID: O20080424000568 |
Entity Name | Anesthesia Care Services Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609833474 PECOS PAC ID: 7012937105 Enrollment ID: O20090813000373 |
Mailing Address | Practice Location Address |
---|---|
Mr Jonathan Wesley Jackson, CRNA Po Box 2257, Laurinburg, NC 28353-2257 Ph: (910) 610-4011 | Mr Jonathan Wesley Jackson, CRNA 500 Lauchwood Drive, Laurinburg, NC 28352-5501 Ph: (910) 610-4011 |
Emily Crabtree Purcell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Lauchwood Dr, Laurinburg, NC 28352 Phone: 910-291-7720 | |
Dustin Harvey Melton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Lauchwood Dr, Laurinburg, NC 28352 Phone: 910-291-7171 Fax: 910-291-7180 | |
Lee Ann Russell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 E Lauchwood Dr, Laurinburg, NC 28352 Phone: 910-291-7000 | |
Ms. Esther Cassidy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Lauchwood Dr, Laurinburg, NC 28352 Phone: 910-291-7000 | |
Craig Elliott Lowry I, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Lauchwood Dr, Laurinburg, NC 28352 Phone: 910-736-1652 | |
Mr. Thomas G Baughan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 E Lauchwood Dr, Laurinburg, NC 28352 Phone: 910-291-7000 |