Sandy A Jackson, | |
14 Center St, Cuba, NY 14727-1002 | |
(585) 968-3210 | |
Not Available |
Full Name | Sandy A Jackson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 14 Center St, Cuba, New York |
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 |
---|---|---|---|
1043671530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 340897 (New York) | Primary |
163W00000X | Registered Nurse | 501034 (New York) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Vna Of Western Ny Chha | Williamsville, NY | Home health agency |
Jones Memorial Hospital | Wellsville, NY | Hospital |
Olean General Hospital | Olean, NY | Hospital |
Kaleida Health | Buffalo, NY | Hospital |
Cuba Memorial Hospital, Inc | Cuba, NY | Hospital |
St James Mercy Hospital | Hornell, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Olean Medical Practice Pllc | 0042698045 | 36 |
Entity Name | Olean Medical Group Partnership |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689669541 PECOS PAC ID: 1951203850 Enrollment ID: O20040122000168 |
Entity Name | Olean Medical Practice Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285384412 PECOS PAC ID: 0042698045 Enrollment ID: O20220603000542 |
Mailing Address | Practice Location Address |
---|---|
Sandy A Jackson, 47 Rochambeau Avenue Ext, Andover, NY 14806-9606 Ph: () - | Sandy A Jackson, 14 Center St, Cuba, NY 14727-1002 Ph: (585) 968-3210 |
Shayla Tatham, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 W Main St, Cuba, NY 14727 Phone: 585-968-1628 | |
Robin C Aftuck, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 W Main St, Cuba, NY 14727 Phone: 716-375-7500 Fax: 716-701-6888 | |
Mr. Brad Pecherzewski, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14 Center St, Cuba, NY 14727 Phone: 585-968-3210 Fax: 585-968-3031 | |
Mrs. Deborah Anne Hughes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14 Center Street, Cuba, NY 14727 Phone: 585-968-4357 Fax: 585-968-4356 | |
Nicole Drake, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 W Main St, Cuba, NY 14727 Phone: 585-968-1628 | |
Ruth A Brewer, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 140 W Main St, Cuba, NY 14727 Phone: 585-968-2000 Fax: 585-968-0371 |