| Brian D. Jackson, Dpm, Llc | |
|
1215 Hatcher Ln, Columbia, TN 38401-3531 | |
| (931) 380-0353 | |
| Not Available |
| Full Name | Brian D. Jackson, Dpm, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 1215 Hatcher Ln, Columbia, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386836252 | NPI | - | NPPES |
| DC1001 | Other | TN | RAILROAD MEDICARE GROUP |
| 3414014 | Other | CIGNA | |
| 3352132 | Other | MEDICARE GROUP PIN | |
| 2740069 | Other | UNITED HEALTHCARE | |
| 4042682 | Other | BLUE CROSS OF TN | |
| 480034585 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | 436 (Tennessee) | Primary |
| Provider Name | Brian D Jackson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306842356 PECOS PAC ID: 9830167303 Enrollment ID: I20110120000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian D. Jackson, Dpm, Llc 1215 Hatcher Ln, Columbia, TN 38401-3531 Ph: (931) 380-0353 | Brian D. Jackson, Dpm, Llc 1215 Hatcher Ln, Columbia, TN 38401-3531 Ph: (931) 380-0353 |
Advanced Diagnostic Imaging, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1215 Hatcher Ln, Columbia, TN 38401 Phone: 615-220-8788 Fax: 615-220-8688 | |
Aaron Michael Owens, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3203 Carrington Ln, Columbia, TN 38401 Phone: 931-629-7176 Fax: 931-223-5459 | |
Ann R. Goranson D.p.m. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1413 Hatcher Ln, Columbia, TN 38401 Phone: 931-381-3020 | |
Dr. Brian D Jackson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1215 Hatcher Ln, Columbia, TN 38401 Phone: 615-220-8788 Fax: 615-220-8688 | |
Dr. Robert J Schreiber, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1705 Wedgewood Dr, Columbia, TN 38401 Phone: 931-388-2190 Fax: 931-388-2190 | |
Rhennetta Bork, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1503 Hatcher Ln Ste 100, Columbia, TN 38401 Phone: 931-388-9922 Fax: 615-332-0340 |