Dr Allen B Jackson, MD | |
8761 Dorchester Rd Ste 100, North Charleston, SC 29420-7320 | |
(843) 767-3323 | |
(843) 767-4252 |
Full Name | Dr Allen B Jackson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 38 Years |
Location | 8761 Dorchester Rd Ste 100, North Charleston, South Carolina |
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 |
---|---|---|---|
1902866965 | NPI | - | NPPES |
GP6738 | Medicaid | SC | |
136800 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 13680 (South Carolina) | Secondary |
207R00000X | Internal Medicine | 13680 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Liberty Doctors Llc | 0840466017 | 44 |
Entity Name | Allen B Jackson Md Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821210121 PECOS PAC ID: 3870551484 Enrollment ID: O20041229000640 |
Entity Name | Liberty Doctors Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700162203 PECOS PAC ID: 0840466017 Enrollment ID: O20120110000683 |
Entity Name | Bhg Lxxx Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659081644 PECOS PAC ID: 6608221684 Enrollment ID: O20231011001431 |
Mailing Address | Practice Location Address |
---|---|
Dr Allen B Jackson, MD Po Box 13955, Charleston, SC 29422-3955 Ph: (843) 764-0770 | Dr Allen B Jackson, MD 8761 Dorchester Rd Ste 100, North Charleston, SC 29420-7320 Ph: (843) 767-3323 |
David Anthony Florez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2671 Elms Plantation Blvd, North Charleston, SC 29406 Phone: 843-797-6800 Fax: 843-797-6825 | |
Dr. Charles Dudley Graham, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2910 Tricom St, North Charleston, SC 29406 Phone: 843-572-9211 Fax: 843-572-0457 | |
Dr. Ashley Abide Jeter, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2910 Tricom St, North Charleston, SC 29406 Phone: 843-572-9211 Fax: 843-572-0458 | |
Dr. Darren S Sidney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9221 University Blvd, Suite 102, North Charleston, SC 29406 Phone: 843-576-0700 Fax: 843-576-0701 | |
Kevin Michael Smith, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 9330 Medical Plaza Dr, North Charleston, SC 29406 Phone: 843-847-3225 | |
Dr. Marabel D Schneider, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4969 Centre Pointe Dr Ste 100, North Charleston, SC 29418 Phone: 843-853-0250 | |
Dr. Shyam Yallapragada, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2811 Tricom St, North Charleston, SC 29406 Phone: 843-572-4774 Fax: 843-572-2508 |