Dr Brian D Jackson, DPM | |
1215 Hatcher Ln, Columbia, TN 38401-3531 | |
(615) 220-8788 | |
(615) 220-8688 |
Full Name | Dr Brian D Jackson |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 32 Years |
Location | 1215 Hatcher Ln, Columbia, Tennessee |
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 |
---|---|---|---|
1306842356 | NPI | - | NPPES |
480034585 | Other | TN | RAILROAD MEDICARE |
4042682 | Other | TN | BLUE CROSS |
DC1001 | Other | TN | RAILROAD MEDICARE GROUP |
3352132 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 436 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Diagnostic Imaging Pc | 7315848140 | 547 |
Provider Name | Advanced Diagnostic Imaging Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677 |
Provider Name | Brian D Jackson Dpm Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386836252 PECOS PAC ID: 3577531037 Enrollment ID: O20040922000530 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian D Jackson, DPM 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 239-2018 | Dr Brian D Jackson, DPM 1215 Hatcher Ln, Columbia, TN 38401-3531 Ph: (615) 220-8788 |
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 | |
Brian D. Jackson, Dpm, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1215 Hatcher Ln, Columbia, TN 38401 Phone: 931-380-0353 | |
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 |