| David Alan Jackson, MD | |
|
10500 Montgomery Rd, Montgomery, OH 45242-4402 | |
| (513) 865-1200 | |
| (513) 558-5791 |
| Full Name | David Alan Jackson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 4 Years |
| Location | 10500 Montgomery Rd, Montgomery, Ohio |
| 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 |
|---|---|---|---|
| 1962081455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35.150662 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mccullough-hyde Memorial Hospital | Oxford, OH | Hospital |
| Bethesda North | Cincinnati, OH | Hospital |
| Good Samaritan Hospital | Cincinnati, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Talawanda Emergency Physicians, Inc. | 2062431471 | 12 |
| Entity Name | Talawanda Emergency Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265416804 PECOS PAC ID: 2062431471 Enrollment ID: O20051115000775 |
| Mailing Address | Practice Location Address |
|---|---|
| David Alan Jackson, MD 10500 Montgomery Rd, Montgomery, OH 45242-4402 Ph: (513) 865-1307 | David Alan Jackson, MD 10500 Montgomery Rd, Montgomery, OH 45242-4402 Ph: (513) 865-1200 |
Dr. John Paul Detherage Iii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10506 Montgomery Rd Ste 209, Montgomery, OH 45242 Phone: 513-865-9040 | |
Zachary David Heppner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10506 Montgomery Rd Ste 209, Montgomery, OH 45242 Phone: 513-865-9040 Fax: 513-865-9046 | |
Dr. Julian Macedo, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-2246 | |
Margaret Bailey, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-1112 | |
Dr. Jaclyn Harrington Jansen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10506 Montgomery Rd Ste 209, Montgomery, OH 45242 Phone: 800-225-0953 | |
James Heaton, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-1111 | |
Laura Elizabeth Frankenfeld, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10506 Montgomery Rd Ste 209, Montgomery, OH 45242 Phone: 513-865-9040 Fax: 513-865-9046 |