Vincent A Jackson, CRNA | |
3601 Tvc, Nashville, TN 37232-0001 | |
(615) 322-3000 | |
Not Available |
Full Name | Vincent A Jackson |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3601 Tvc, Nashville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255332003 | NPI | - | NPPES |
74004656 | Medicaid | KY | |
009983640 | Medicaid | AL | |
3630981 | Medicaid | TN | |
4034837 | Other | TN | BCBS NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 051295 (Tennessee) | Primary |
Entity Name | Anesthesia Medical Group, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215932413 PECOS PAC ID: 6901702307 Enrollment ID: O20031208000822 |
Entity Name | Oral Surgical Institute Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144298050 PECOS PAC ID: 5092799031 Enrollment ID: O20040616000881 |
Entity Name | Sweet Dreams Anesthesia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508133497 PECOS PAC ID: 0042477705 Enrollment ID: O20120208000105 |
Entity Name | Mid South Anesthesia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548565245 PECOS PAC ID: 0749440782 Enrollment ID: O20120328000604 |
Entity Name | Vcp 2 Nashville Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801225412 PECOS PAC ID: 5496985731 Enrollment ID: O20140305001798 |
Entity Name | Nashville Gastrointestinal Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902282130 PECOS PAC ID: 7810206059 Enrollment ID: O20151028003108 |
Mailing Address | Practice Location Address |
---|---|
Vincent A Jackson, CRNA 3601 Tvc, Nashville, TN 37232-0001 Ph: (615) 322-3000 | Vincent A Jackson, CRNA 3601 Tvc, Nashville, TN 37232-0001 Ph: (615) 322-3000 |
Amanda B Dickert I, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1215 21st Ave S, Nashville, TN 37232 Phone: 615-343-6336 Fax: 615-343-1966 | |
Charles Ryan Swafford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4230 Harding Pike, Suite 435, Nashville, TN 37205 Phone: 615-385-3704 Fax: 615-292-1321 | |
Jana Koehn, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4 Academy Pl Apt 307, Nashville, TN 37210 Phone: 316-243-7921 | |
Jon Schwindt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 29th Ave N, Ste 202, Nashville, TN 37203 Phone: 615-327-4304 | |
Mrs. Misty Coggins Handy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 29th Ave N, Ste 202, Nashville, TN 37203 Phone: 615-327-4304 | |
Joshua Lemay, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 110 29th Ave N, Suite 202, Nashville, TN 37203 Phone: 615-327-4304 Fax: 615-327-7940 | |
Jonathan Keith Allgood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4230 Harding Pike, Suite 435, Nashville, TN 37205 Phone: 615-385-3704 Fax: 615-292-1321 |