| Dr Blaine Kenton Jackson, MD | |
|
773 Academy Dr, Solana Beach, CA 92075 | |
| (858) 259-9708 | |
| (858) 259-9689 |
| Full Name | Dr Blaine Kenton Jackson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 31 Years |
| Location | 773 Academy Dr, Solana Beach, California |
| 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 |
|---|---|---|---|
| 1518079565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A67288 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vitas Healthcare Corporation Of California | San diego, CA | Hospice |
| Manor Hospice | Rancho cucamonga, CA | Hospice |
| Grossmont Hospital | La mesa, CA | Hospital |
| Pomerado Hospital | Poway, CA | Hospital |
| Aviara Healthcare Center | Encinitas, CA | Nursing home |
| La Fuente Post Acute | Vista, CA | Nursing home |
| Palomar Heights Post Acute Rehab | Escondido, CA | Nursing home |
| Boulder Creek Post Acute | Poway, CA | Nursing home |
| Village Square Healthcare Center | San marcos, CA | Nursing home |
| Entity Name | Gn Medical Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275576522 PECOS PAC ID: 5092605816 Enrollment ID: O20040316001465 |
| Entity Name | Careconnectmd Ca Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366063125 PECOS PAC ID: 5496178055 Enrollment ID: O20200715000596 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Blaine Kenton Jackson, MD 773 Academy Dr, Solana Beach, CA 92075-2031 Ph: (858) 259-9708 | Dr Blaine Kenton Jackson, MD 773 Academy Dr, Solana Beach, CA 92075 Ph: (858) 259-9708 |
Daniel M Pertschuk, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 166 Las Banderas Dr, Solana Beach, CA 92075 Phone: 760-535-2978 | |
Dr. Ivan M Lieberburg, PH.D., M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 440 Stevens Ave, Suite 100, Solana Beach, CA 92075 Phone: 650-302-8344 Fax: 858-400-3101 | |
Dr. Mark E. Kalina, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 427 S Cedros Ave, Suite 101, Solana Beach, CA 92075 Phone: 858-876-6360 Fax: 800-876-6912 | |
Brigitte Sacco, L. AC. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 444 S Cedros Ave Ste 120, Solana Beach, CA 92075 Phone: 315-569-7801 | |
Jan Marie Johnston, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 715 Camino Catalina, Solana Beach, CA 92075 Phone: 650-704-7651 | |
Robert S Yuhas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 380 Stevens Ave Ste 310, Solana Beach, CA 92075 Phone: 858-554-1212 Fax: 858-795-1195 |