| Dr Mark Aaron Jacknin, DO | |
|
4405 Broadway, New York, NY 10040-4014 | |
| (212) 740-2020 | |
| (646) 666-0280 |
| Full Name | Dr Mark Aaron Jacknin |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 4405 Broadway, New York, 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 |
|---|---|---|---|
| 1033179338 | NPI | - | NPPES |
| 02716663 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 230171 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Griffin Myers Medical Pc | 5294145017 | 72 |
| Entity Name | Griffin Myers Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780209445 PECOS PAC ID: 5294145017 Enrollment ID: O20201106001359 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Aaron Jacknin, DO Po Box 746087, Atlanta, GA 30374-6087 Ph: (312) 733-9730 | Dr Mark Aaron Jacknin, DO 4405 Broadway, New York, NY 10040-4014 Ph: (212) 740-2020 |
Syra Hanif, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 492 6th Ave, New York, NY 10011 Phone: 646-454-9000 Fax: 646-454-9047 | |
Tahsin Kabir, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 317 E 34th St, New York, NY 10016 Phone: 212-726-7400 | |
Dr. Daria Ravangard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 52 W 8th St, New York, NY 10011 Phone: 212-466-4848 Fax: 212-466-4855 | |
Emily Elizabeth Caruso, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 35 E 21st St Fl 7, New York, NY 10010 Phone: 312-219-2230 | |
Dr. Lael E Forbes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9 E 62nd St Ofc 1r, New York, NY 10065 Phone: 212-837-8911 | |
Dr. Sapna Chaudhary, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 245 5th Ave, 2nd Floor, New York, NY 10016 Phone: 646-935-2265 Fax: 646-935-2272 | |
Vikrant Khanderia, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 154 W 71st St, New York, NY 10023 Phone: 212-496-4600 Fax: 917-441-0195 |