Dr Dorothy Louise Jackson, MD | |
1114 W Bow St, Tyler, TX 75702-5137 | |
(903) 595-5595 | |
(903) 595-5985 |
Full Name | Dr Dorothy Louise Jackson |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 37 Years |
Location | 1114 W Bow St, Tyler, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922071042 | NPI | - | NPPES |
199916104 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | N1355 (Texas) | Primary |
Entity Name | Phoenix Health Center Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295157337 PECOS PAC ID: 8426278185 Enrollment ID: O20140930002209 |
Entity Name | Glutality Provider Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083256168 PECOS PAC ID: 9032549837 Enrollment ID: O20200806000054 |
Mailing Address | Practice Location Address |
---|---|
Dr Dorothy Louise Jackson, MD 1114 W Bow St, Tyler, TX 75702-5137 Ph: (903) 595-5595 | Dr Dorothy Louise Jackson, MD 1114 W Bow St, Tyler, TX 75702-5137 Ph: (903) 595-5595 |
Dr. John W Scroggins, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8288 S Broadway Ave, Tyler, TX 75703 Phone: 903-606-7060 | |
Dr. James Kent Gray, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14843 Big Oak Bay Rd, Tyler, TX 75707 Phone: 903-655-0880 Fax: 903-654-6415 | |
Dr. Eric R Smith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3802 Manhatton, Tyler, TX 75701 Phone: 903-509-8888 | |
Michele C Bosworth, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777 Fax: 903-877-5080 | |
Dr. James A Lively, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3802 Manhatton Dr, Tyler, TX 75701 Phone: 903-509-8888 | |
Steven J Cohen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-510-8764 | |
Andrea M Ellis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8288 S Broadway Ave, Tyler, TX 75703 Phone: 903-606-7060 |