| Dr Jeanette Helen Jackson, DO | |
|
75 Avenue B, Richwood, WV 26261-1236 | |
| (304) 846-2573 | |
| (304) 846-6389 |
| Full Name | Dr Jeanette Helen Jackson |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 29 Years |
| Location | 75 Avenue B, Richwood, West Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184719023 | NPI | - | NPPES |
| 6000951000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1780 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wv Caring | Arthurdale, WV | Hospice |
| Hospicecare, Inc | Charleston, WV | Hospice |
| People's Hospice, Inc | Bridgeport, WV | Hospice |
| West Virginia University Hospitals | Morgantown, WV | Hospital |
| Braxton County Memorial Hospital, Inc | Gassaway, WV | Hospital |
| Stonewall Jackson Memorial Hospital | Weston, WV | Hospital |
| St Joseph's Hospital | Buckhannon, WV | Hospital |
| Crestview Manor Nursing And Rehabilitation | Jane lew, WV | Nursing home |
| Braxton Health Care Center | Sutton, WV | Nursing home |
| Holbrook Healthcare Center | Buckhannon, WV | Nursing home |
| Clay Health Care Center | Ivydale, WV | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pa Post Acute Services Pc | 7911374905 | 4 |
| Entity Name | Webster County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699778704 PECOS PAC ID: 1153230099 Enrollment ID: O20031219000545 |
| Entity Name | Webster Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679241152 PECOS PAC ID: 6709275373 Enrollment ID: O20211227001169 |
| Entity Name | Pa Post Acute Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255057063 PECOS PAC ID: 7911374905 Enrollment ID: O20221222001033 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeanette Helen Jackson, DO 75 Avenue B, Richwood, WV 26261-1236 Ph: (304) 846-2573 | Dr Jeanette Helen Jackson, DO 75 Avenue B, Richwood, WV 26261-1236 Ph: (304) 846-2573 |
Dr. Mohammad A Sobhan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 75 Avenue B, Richwood, WV 26261 Phone: 304-846-2573 Fax: 304-846-9562 |