| Dr Kenneth Wade Jackson Jr, MD | |
|
15 Skyland Inn Dr Fl 2, Arden, NC 28704-7714 | |
| (828) 654-5005 | |
| (828) 654-3257 |
| Full Name | Dr Kenneth Wade Jackson Jr |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 28 Years |
| Location | 15 Skyland Inn Dr Fl 2, Arden, North Carolina |
| 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 |
|---|---|---|---|
| 1487606943 | NPI | - | NPPES |
| 2169383 | Other | NC | UNITED HEALTHCARE |
| 11453742 | Other | NC | CAQH |
| 136RM | Other | NC | BLUE CROSS |
| 89136RM | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 9801313 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park Ridge Health | Hendersonville, NC | Hospital |
| Memorial Mission Hospital And Asheville Surgery Ce | Asheville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fletcher Hospital Inc | 5395658819 | 226 |
| Entity Name | Fletcher Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427075027 PECOS PAC ID: 5395658819 Enrollment ID: O20031111000778 |
| Entity Name | Grace Ob Gyn Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538185988 PECOS PAC ID: 6406836584 Enrollment ID: O20040720001599 |
| Entity Name | Obhg North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124300876 PECOS PAC ID: 3577721034 Enrollment ID: O20120301000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Wade Jackson Jr, MD Po Box 1869, Fletcher, NC 28732-1869 Ph: (828) 687-5698 | Dr Kenneth Wade Jackson Jr, MD 15 Skyland Inn Dr Fl 2, Arden, NC 28704-7714 Ph: (828) 654-5005 |
Jeffrey Bruce Garris, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 15 Skyland Inn Dr, Arden, NC 28704 Phone: 828-654-5005 Fax: 828-654-3257 | |
John Patrick Cuellar Iii, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 15 Skyland Inn Dr, Arden, NC 28704 Phone: 828-654-5005 |