| David Jackson, MD | |
|
1044 Belmont Ave, Youngstown, OH 44504-1006 | |
| (330) 746-7211 | |
| (330) 656-5901 |
| Full Name | David Jackson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1044 Belmont Ave, Youngstown, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033195607 | NPI | - | NPPES |
| 700007026 | Other | OH | RAILROAD MEDICARE |
| 0805230 | Medicaid | OH | |
| 001474708-0001 | Other | OH | PENNSYLVANIA MEDICAID |
| P00360149 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35059981J (Ohio) | Primary |
| Entity Name | Physicians Link Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235172925 PECOS PAC ID: 8527969492 Enrollment ID: O20040405000838 |
| Entity Name | Emergency Medicine Physicians Of Lake County Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154763944 PECOS PAC ID: 0042444051 Enrollment ID: O20131007000784 |
| Entity Name | Emergency Medicine Physicians Of Lancaster Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881025344 PECOS PAC ID: 8729216080 Enrollment ID: O20140113000127 |
| Entity Name | Emergency Medicine Physicians Of Cincinnati Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922483213 PECOS PAC ID: 5294044137 Enrollment ID: O20151016000115 |
| Entity Name | Fep Of Ohio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134718448 PECOS PAC ID: 2062827355 Enrollment ID: O20210218002451 |
| Mailing Address | Practice Location Address |
|---|---|
| David Jackson, MD 5700 Darrow Rd, Suite 106, Hudson, OH 44236-5021 Ph: (330) 656-5911 | David Jackson, MD 1044 Belmont Ave, Youngstown, OH 44504-1006 Ph: (330) 746-7211 |
Dr. Jeanine Awad-spirtos, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Youngstown, OH 44512 Phone: 330-729-2929 | |
Mr. Yazan K Jadallah, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1044 Belmont Avenue, Youngstown, OH 44501 Phone: 330-746-7211 Fax: 330-480-3916 | |
Emily Jordan Coyne, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8401 Market St, Youngstown, OH 44512 Phone: 330-729-7960 | |
Dr. Laura Leigh Miller, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1053 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3605 Fax: 330-480-2948 | |
Victor Mckee, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Youngstown, OH 44512 Phone: 330-729-2929 Fax: 330-656-5901 | |
Dr. Shilp Shah, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-814-0862 |