Dr Avery Michael Jackson Iii, MD | |
9400 S Saginaw Rd Ste A, Grand Blanc, MI 48439-9666 | |
(810) 606-7200 | |
(810) 606-7115 |
Full Name | Dr Avery Michael Jackson Iii |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 30 Years |
Location | 9400 S Saginaw Rd Ste A, Grand Blanc, Michigan |
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 |
---|---|---|---|
1851329197 | NPI | - | NPPES |
0993708 | Other | MI | HEALTHPLUS OF MICHIGAN |
4568263 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | AJ076974 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Residential Home Health And Hospice | Lapeer, MI | Home health agency |
Mclaren Flint | Flint, MI | Hospital |
Memorial Healthcare | Owosso, MI | Hospital |
Genesys Regional Medical Center - Health Park | Grand blanc, MI | Hospital |
Mclaren Lapeer Region | Lapeer, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michigan Neurosurgical Institute, P.c | 9931094802 | 3 |
Entity Name | Michigan Neurosurgical Institute, P.c |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336184571 PECOS PAC ID: 9931094802 Enrollment ID: O20040408001119 |
Mailing Address | Practice Location Address |
---|---|
Dr Avery Michael Jackson Iii, MD 4620 Genesys Pkwy, Grand Blanc, MI 48439-8067 Ph: (810) 606-7200 | Dr Avery Michael Jackson Iii, MD 9400 S Saginaw Rd Ste A, Grand Blanc, MI 48439-9666 Ph: (810) 606-7200 |
Dr. Lisa L Guyot, MD PHD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 841 Health Park Boulevard, Grand Blanc, MI 48439 Phone: 810-606-7340 Fax: 810-606-7770 |