| Dr Danielle Jacks, MD | |
| 520 Medical Center Dr Ste 201, Medford, OR 97504-4334 | |
| (541) 789-5710 | |
| (541) 789-5711 | 
| Full Name | Dr Danielle Jacks | 
|---|---|
| Gender | Female | 
| Speciality | Surgery | 
| Location | 520 Medical Center Dr Ste 201, Medford, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1730597147 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 312129 (Louisiana) | Primary | 
| Entity Name | Asante Physician Partners | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922381326 PECOS PAC ID: 8325206246 Enrollment ID: O20120223000671 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Danielle Jacks, MD 520 Medical Center Dr Ste 201, Medford, OR 97504-4334 Ph: () - | Dr Danielle Jacks, MD 520 Medical Center Dr Ste 201, Medford, OR 97504-4334 Ph: (541) 789-5710 | 
| Erika Margaret Bennett, MD Surgery Medicare: Medicare Enrolled Practice Location: 520 Medical Center Dr Ste 300, Medford, OR 97504 Phone: 541-930-8907 Fax: 541-245-4820 | |
| Dr. Mark Adalbert Eaton, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Center Dr, Ste 300, Medford, OR 97504 Phone: 541-282-6559 Fax: 541-282-6710 | |
| Patrick Joseph Phelan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Center Dr, Ste 300, Medford, OR 97504 Phone: 541-930-8907 Fax: 541-245-4820 | |
| Sandeep Singh Jhajj, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 940 Royal Ave Unit 100, Medford, OR 97504 Phone: 541-732-8388 | |
| Wie-peng Kuo, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1698 E Mcandrews Rd, Suite 160, Medford, OR 97504 Phone: 541-732-7874 Fax: 541-732-7875 | |
| Dr. David Lee Street, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Center Dr, Ste 300, Medford, OR 97504 Phone: 541-282-6559 Fax: 541-282-6710 | |
| Dr. Mark C Mason, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd, Suite 160, Medford, OR 97504 Phone: 541-732-7874 Fax: 541-732-7875 |