Rodney J Staton, DPM | |
2863 Highway 45 Byp, Jackson, TN 38305-3618 | |
(731) 664-1375 | |
(731) 660-2558 |
Full Name | Rodney J Staton |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 43 Years |
Location | 2863 Highway 45 Byp, Jackson, 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 |
---|---|---|---|
1184692956 | NPI | - | NPPES |
3351673 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | DPM361 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jackson Clinic Pa | 2668376872 | 179 |
Provider Name | Jackson Clinic Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285629386 PECOS PAC ID: 2668376872 Enrollment ID: O20040318000962 |
Mailing Address | Practice Location Address |
---|---|
Rodney J Staton, DPM Po Box 400, Jackson, TN 38302-0400 Ph: (731) 423-8697 | Rodney J Staton, DPM 2863 Highway 45 Byp, Jackson, TN 38305-3618 Ph: (731) 664-1375 |
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