Brandon Leroy Jackson, PT | |
4765 S. Durango Dr., Ste 106, Las Vegas, NV 89147 | |
(702) 898-7633 | |
(702) 898-6433 |
Full Name | Brandon Leroy Jackson |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 25 Years |
Location | 4765 S. Durango Dr., Las Vegas, Nevada |
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 |
---|---|---|---|
1952340671 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1365 (Nevada) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brandon Jackson P T | 2961480363 | 6 |
Provider Name | Brandon Jackson P T |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487682076 PECOS PAC ID: 2961480363 Enrollment ID: O20040712001093 |
Mailing Address | Practice Location Address |
---|---|
Brandon Leroy Jackson, PT 4765 S. Durango Dr., Ste 106, Las Vegas, NV 89147 Ph: (702) 898-7633 | Brandon Leroy Jackson, PT 4765 S. Durango Dr., Ste 106, Las Vegas, NV 89147 Ph: (702) 898-7633 |
Athleticare Physical Therapist Medicare: Medicare Enrolled Practice Location: 8333 S Eastern Ave, Las Vegas, NV 89123 Phone: 702-263-3802 Fax: 702-270-7740 | |
Ceferino Villafuerte, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2029 Winter Wind St, Las Vegas, NV 89134 Phone: 702-869-6714 | |
Kelsey Zane Daniels, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6345 S Jones Blvd Ste 300, Las Vegas, NV 89118 Phone: 702-515-4009 | |
Dr. Erin Longhurst, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2650 N Tenaya Way, Suite 180, Las Vegas, NV 89128 Phone: 702-240-2952 | |
Mr. Gladstone George, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2832 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-735-5848 Fax: 702-735-6218 | |
Ati Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6830 W Oquendo Rd, Suite 101, Las Vegas, NV 89118 Phone: 702-258-3066 | |
Chanha Hwang, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8174 Las Vegas Blvd S Ste 109-150, Las Vegas, NV 89123 Phone: 702-883-9528 Fax: 702-852-5715 |