Dr Leland Jay Jackson, MD | |
5006 W Genesee St, Camillus, NY 13031-2326 | |
(315) 234-2342 | |
(315) 234-0697 |
Full Name | Dr Leland Jay Jackson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 38 Years |
Location | 5006 W Genesee St, Camillus, New York |
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 |
---|---|---|---|
1386616472 | NPI | - | NPPES |
01348347 | Medicaid | NY | |
171536 | Other | NY | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 171536 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home (liverpool) | Liverpool, NY | Home health agency |
University Hospital S U N Y Health Science Center | Syracuse, NY | Hospital |
Entity Name | Fairmount Family Medicine Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659491421 PECOS PAC ID: 0941262240 Enrollment ID: O20041029000232 |
Mailing Address | Practice Location Address |
---|---|
Dr Leland Jay Jackson, MD 5006 W Genesee St, Camillus, NY 13031-2326 Ph: (315) 234-2342 | Dr Leland Jay Jackson, MD 5006 W Genesee St, Camillus, NY 13031-2326 Ph: (315) 234-2342 |
Thomas J Laclair, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 436 Hinsdale Rd, Camillus, NY 13031 Phone: 315-488-0996 Fax: 315-488-1955 | |
Dennis David Daly, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5700 W Genesee St, Camillus, NY 13031 Phone: 315-487-1573 Fax: 315-487-2418 | |
James Francis Lawless, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 Hinsdale Rd, Camillus, NY 13031 Phone: 315-488-0996 Fax: 315-488-1955 | |
David Thurber Page, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 Hinsdale Rd, Camillus, NY 13031 Phone: 315-488-0996 Fax: 315-488-1955 | |
Dr. David Thomas Hope, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5415 W Genesee St, Suite 301, Camillus, NY 13031 Phone: 315-487-8109 Fax: 315-487-5680 | |
Henry William Schoeneck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5700 W Genesee St, Camillus, NY 13031 Phone: 315-487-1573 Fax: 315-487-2418 | |
Abigail Mccarthy, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5301 W Genesee St, Camillus, NY 13031 Phone: 315-833-9900 |