Dr Cary V Jackson, MD | |
401 E Hawaii, Nampa, ID 83686 | |
(208) 302-2100 | |
(208) 302-2125 |
Full Name | Dr Cary V Jackson |
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Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 401 E Hawaii, Nampa, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932169042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | M5647 (Idaho) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | M-5647 (Idaho) | Primary |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Mailing Address | Practice Location Address |
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Dr Cary V Jackson, MD 3340 East Goldstone Way, Meridian, ID 83642-1026 Ph: (208) 302-2100 | Dr Cary V Jackson, MD 401 E Hawaii, Nampa, ID 83686 Ph: (208) 302-2100 |
Wesley David Pidcock, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4400 E Flamingo Ave Ste 200, Nampa, ID 83687 Phone: 208-302-2100 Fax: 208-302-2125 | |
Kenneth Wilhelm Jr., Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 4400 E Flamingo Ave, Nampa, ID 83687 Phone: 208-288-4970 Fax: 208-288-4990 | |
Michael M Dee, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-463-3234 Fax: 208-463-3044 | |
Justin Tomal, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 Garrity Blvd, Nampa, ID 83687 Phone: 208-343-6458 | |
Braden Lawrence, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 85 S Middleton Rd, Nampa, ID 83651 Phone: 208-381-4100 | |
Patricia M Buersmeyer, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 9850 W St Lukes Dr, Nampa, ID 83687 Phone: 208-468-5920 | |
Ryan J. Williams, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 900 N Happy Valley Rd, Nampa, ID 83687 Phone: 208-401-9639 |