| Calvin R Jackson, | |
|
2123 Wrightsboro Rd, Augusta, GA 30904-4777 | |
| (706) 736-5244 | |
| (706) 736-5246 |
| Full Name | Calvin R Jackson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 38 Years |
| Location | 2123 Wrightsboro Rd, Augusta, Georgia |
| 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 |
|---|---|---|---|
| 1740398338 | NPI | - | NPPES |
| 000623796B | Medicaid | GA | |
| 164495 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 031265 (Georgia) | Primary |
| 207R00000X | Internal Medicine | 16449 (South Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity Home Health | Augusta, GA | Home health agency |
| University Hospital | Augusta, GA | Hospital |
| Entity Name | Beulah Grove Community Resource Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558544684 PECOS PAC ID: 3779471743 Enrollment ID: O20040310000432 |
| Entity Name | Csra Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164530689 PECOS PAC ID: 8729102512 Enrollment ID: O20100831000644 |
| Entity Name | Medical Office Force |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508378613 PECOS PAC ID: 9335481951 Enrollment ID: O20190501001903 |
| Entity Name | Magnatel Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619689817 PECOS PAC ID: 7113391558 Enrollment ID: O20231004001863 |
| Mailing Address | Practice Location Address |
|---|---|
| Calvin R Jackson, 2123 Wrightsboro Rd, Augusta, GA 30904-4777 Ph: (706) 736-5244 | Calvin R Jackson, 2123 Wrightsboro Rd, Augusta, GA 30904-4777 Ph: (706) 736-5244 |
Dr. Noelle Alicia Rolle, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1447 Harper St Fl 2, Augusta, GA 30912 Phone: 706-721-8623 | |
Dr. Bryan Richard Broach, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 | |
Dr. Kayla Ashley Shahbazian, DO Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 Fax: 706-721-1459 | |
Dr. Harvey Schwartz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273 | |
Dr. Anam Asif Herekar, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2423 | |
Haley Sorensen, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3186 | |
Dr. Robert Allen Price, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Magnolia Way Ste 101, Augusta, GA 30909 Phone: 706-922-6600 Fax: 706-650-0239 |