| Dr Charles Andrew Jackson, MD | |
|
2263 Hwy 65 North, Marshall, AR 72650 | |
| (870) 448-5733 | |
| Not Available |
| Full Name | Dr Charles Andrew Jackson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 2263 Hwy 65 North, Marshall, Arkansas |
| 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 |
|---|---|---|---|
| 1720003247 | NPI | - | NPPES |
| 080168260 | Other | RR MEDICARE | |
| 130077001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-0979 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Arkansas Regional Medical Center | Harrison, AR | Hospital |
| Baxter Regional Medical Center | Mountain home, AR | Hospital |
| Ozark Health | Clinton, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boston Mountain Rural Health Center, Inc | 3870401722 | 49 |
| Entity Name | Boston Mountain Rural Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720096027 PECOS PAC ID: 3870401722 Enrollment ID: O20040701000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Andrew Jackson, MD 2263 Hwy 65 North, Marshall, AR 72650 Ph: () - | Dr Charles Andrew Jackson, MD 2263 Hwy 65 North, Marshall, AR 72650 Ph: (870) 448-5733 |
Shannon Black, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 942 Highway 65 N, Marshall, AR 72650 Phone: 888-518-1418 Fax: 501-468-0468 | |
Dr. Brian Heath Blair, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2263 Hwy 65 N, Marshall, AR 72650 Phone: 870-448-5733 Fax: 870-448-3392 | |
Dr. Larry Bryan Jennings, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2263 Highway 65 North, Marshall, AR 72650 Phone: 870-448-5733 Fax: 870-448-3392 | |
H. Bradford Allen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 Airport Rd, Marshall, AR 72650 Phone: 870-448-3327 Fax: 870-448-3798 |