| Albert Jerome Jackson Jr, MD | |
|
2710 Saint Francis Dr, Ste 410, Waterloo, IA 50702-5619 | |
| (319) 272-5000 | |
| Not Available |
| Full Name | Albert Jerome Jackson Jr |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 22 Years |
| Location | 2710 Saint Francis Dr, Waterloo, Iowa |
| 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 |
|---|---|---|---|
| 1417168667 | NPI | - | NPPES |
| BP2-0023863 | Other | INSTITUTIONAL PERMIT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 85529 (South Carolina) | Secondary |
| 207L00000X | Anesthesiology | 37967 (Iowa) | Primary |
| 207L00000X | Anesthesiology | 85264 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marshfield Medical Center - Eau Claire | Eau claire, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mchs Hospitals Inc | 5698071173 | 1187 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Beaver Dam Community Hospitals Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20040519001426 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700963048 PECOS PAC ID: 9032029871 Enrollment ID: O20070828000478 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20110526000807 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Entity Name | Lakeview Medical Center Inc Of Rice Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1952890873 PECOS PAC ID: 5698071173 Enrollment ID: O20180904002962 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194317966 PECOS PAC ID: 9032029871 Enrollment ID: O20210409000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Albert Jerome Jackson Jr, MD 2710 Saint Francis Dr Ste 410, Waterloo, IA 50702-5634 Ph: (319) 272-5000 | Albert Jerome Jackson Jr, MD 2710 Saint Francis Dr, Ste 410, Waterloo, IA 50702-5619 Ph: (319) 272-5000 |
Frank Edward Hawkins, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3254 Kimball Ave, Waterloo, IA 50702 Phone: 319-235-7246 Fax: 319-235-3017 | |
Dr. Keeran Ghandivel, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-3886 Fax: 319-233-1630 | |
Luis Avila, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2710 Saint Francis Dr, Suite 410, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5264 | |
Vijayasimha Reddy Pothula, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-5386 Fax: 319-235-3074 | |
Dr. Nathan S Hahn, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3421 W 9th St, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5264 | |
Robert N Federhofer, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2710 Saint Francis Dr, Suite 410, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5264 | |
Tahseen Husain, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-3886 Fax: 319-233-1630 |