| Dr Garland Conway Jackson Jr, MD | |
|
33-57 Harrison St, Johnson City, NY 13790-2107 | |
| (607) 763-6412 | |
| (607) 763-5854 |
| Full Name | Dr Garland Conway Jackson Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 41 Years |
| Location | 33-57 Harrison St, Johnson City, New York |
| 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 |
|---|---|---|---|
| 1831159300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 243575 (New York) | Secondary |
| 207P00000X | Emergency Medicine | 243575 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Health Services Hospitals, Inc | Binghamton, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Medical Associates Pc | 0345144978 | 205 |
| Entity Name | United Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013972801 PECOS PAC ID: 0345144978 Enrollment ID: O20031125000020 |
| Entity Name | Exigence Medical Of Binghamton Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659464758 PECOS PAC ID: 7012913916 Enrollment ID: O20061017000476 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Garland Conway Jackson Jr, MD 33 Lewis Rd, Binghamton, NY 13905-1048 Ph: (607) 770-0025 | Dr Garland Conway Jackson Jr, MD 33-57 Harrison St, Johnson City, NY 13790-2107 Ph: (607) 763-6412 |
John Peter Zevan, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6611 Fax: 607-763-6411 | |
Dr. Shae Lynn Bolander, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 Fax: 607-763-5854 | |
Theodore M Petkov, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 Fax: 607-763-5854 | |
Abdullah Faiq, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 | |
Teresa A Sacco, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 Fax: 607-763-5854 | |
Dr. Christian Elijah Rosado, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 | |
Mustafa Ali Khan, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 |