| Dr Jennifer Jackson, MD | |
|
2241 N 189th Cir W, Colwich, KS 67030-9728 | |
| (316) 789-4378 | |
| Not Available |
| Full Name | Dr Jennifer Jackson |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 26 Years |
| Location | 2241 N 189th Cir W, Colwich, Kansas |
| 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 |
|---|---|---|---|
| 1700827383 | NPI | - | NPPES |
| 200004010A | Medicaid | KS | |
| 100088840B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0429383 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rivercross Hospice Llc | Wichita, KS | Hospice |
| Ascension Via Christi Hospitals Wichita, Inc. | Wichita, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Kansas School Of Medicine Wichita Medical Practice Assoc | 3577464841 | 54 |
| Entity Name | University of Kansas School of Medicine Wichita Medical Practice Assoc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639143712 PECOS PAC ID: 3577464841 Enrollment ID: O20040119000674 |
| Entity Name | Hospitalist Medicine Physicians of Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20151112002441 |
| Entity Name | Cogent Healthcare of Texas PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992722953 PECOS PAC ID: 8628076924 Enrollment ID: O20220121000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Jackson, MD 2241 N 189th Cir W, Colwich, KS 67030-9728 Ph: (316) 789-4378 | Dr Jennifer Jackson, MD 2241 N 189th Cir W, Colwich, KS 67030-9728 Ph: (316) 789-4378 |