| Jackson Medical Center Pc | |
|
2387 W Jackson Blvd Jackson MO 63755-3024 | |
| (573) 243-9288 | |
| (573) 204-7074 |
| Full Name | Jackson Medical Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2387 W Jackson Blvd, Jackson, Missouri |
| Authorized Official Name and Position | Stacey L Cantrell (MANAGER) |
| Authorized Official Contact | 5733351779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Medical Center Pc 2387 W Jackson Blvd Jackson MO 63755-3024 Ph: (573) 243-9288 | Jackson Medical Center Pc 2387 W Jackson Blvd Jackson MO 63755-3024 Ph: (573) 243-9288 |
| NPI Number | 1508048125 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 10/07/2020 |
| Medicare PECOS PAC ID | 6406825876 |
|---|---|
| Medicare Enrollment ID | O20041001000699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508048125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles S Pewitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740389980 PECOS PAC ID: 1355316167 Enrollment ID: I20040930001142 |
Saint Francis Clinic Jackson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2130 E Jackson Blvd, Jackson, MO 63755 Phone: 573-243-3115 Fax: 573-243-4700 | |
Jackson Family Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 545 Broadridge, Jackson, MO 63755 Phone: 573-243-8408 Fax: 573-243-0445 | |
Heartland Family Physicains Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2130 E Jackson Blvd, Jackson, MO 63755 Phone: 573-243-3115 Fax: 573-243-4700 | |
Pain Relief Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7379 Us Highway 61, Jackson, MO 63755 Phone: 573-388-1546 Fax: 888-841-9027 | |
Wills Chiropractic Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2625 E Jackson Blvd, Jackson, MO 63755 Phone: 573-243-3934 Fax: 573-243-3935 | |
Saint Francis Clinic Jackson Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2130 E Jackson Blvd, Jackson, MO 63755 Phone: 573-243-3115 Fax: 573-243-4700 |