| Dr Jackson B Taylor, MD | |
|
200 Mercy Circle, Camp Pendleton, CA 92055-5191 | |
| (760) 719-3696 | |
| Not Available |
| Full Name | Dr Jackson B Taylor |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 32 Years |
| Location | 200 Mercy Circle, Camp Pendleton, 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 |
|---|---|---|---|
| 1487821559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 9901339 (North Carolina) | Primary |
| 208200000X | Plastic Surgery | 9901339 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Moses H. Cone Memorial Hospital, The | Greensboro, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Moses Cone Physician Services, Inc | 4284782210 | 335 |
| Entity Name | Moses Cone Physician Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093953127 PECOS PAC ID: 4284782210 Enrollment ID: O20090501000202 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jackson B Taylor, MD 4398 Stanford St, Carlsbad, CA 92010-7922 Ph: (757) 469-5474 | Dr Jackson B Taylor, MD 200 Mercy Circle, Camp Pendleton, CA 92055-5191 Ph: (760) 719-3696 |
Thanh Tuyen Thi Huynh, MD Surgery Medicare: Medicare Enrolled Practice Location: U.s. Naval Hospital, Camp Pendleton, CA 92055 Phone: 760-725-1356 | |
Augustus Gleason, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Mercy Circle, Department Of Surgery, Camp Pendleton, CA 92055 Phone: 760-725-1356 | |
Dr. William Jason Butler, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Mercy Circle, Dept Of Surgery, Camp Pendleton, CA 92055 Phone: 760-725-1288 | |
Dr. Victoria Shoko Divis Mcdonald, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, General Surgery Clinic, Camp Pendleton, CA 92055 Phone: 760-725-1356 Fax: 760-725-0117 | |
Dr. William Charles Brunner, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055 Phone: 760-725-1356 Fax: 760-725-0117 | |
Oleg A Ryabinin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-725-1356 |