| Dr Mark R Jackson, MD | |
|
3 Saint Francis Dr, Suite 330, Greenville, SC 29601-3971 | |
| (864) 255-1834 | |
| (864) 255-1836 |
| Full Name | Dr Mark R Jackson |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 40 Years |
| Location | 3 Saint Francis Dr, Greenville, South 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 |
|---|---|---|---|
| 1033177530 | NPI | - | NPPES |
| 89067KH | Medicaid | NC | |
| T78966 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 23559 (South Carolina) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 23559 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolina Vein Care And Aesthetics Llc | 6406100080 | 2 |
| Entity Name | St Francis Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871895771 PECOS PAC ID: 6608826821 Enrollment ID: O20050126000259 |
| Entity Name | Carolina Vein Care And Aesthetics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134615396 PECOS PAC ID: 6406100080 Enrollment ID: O20181119000086 |
| Entity Name | Lexington Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
| Entity Name | Bon Secours Medical Group Greenville Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821679580 PECOS PAC ID: 1850779976 Enrollment ID: O20220602000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark R Jackson, MD 3 Saint Francis Dr, Suite 330, Greenville, SC 29601-3971 Ph: (864) 255-1834 | Dr Mark R Jackson, MD 3 Saint Francis Dr, Suite 330, Greenville, SC 29601-3971 Ph: (864) 255-1834 |
John David Scott, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 905 Verdae Blvd Ste 202, Greenville, SC 29607 Phone: 864-676-1072 Fax: 864-522-2105 | |
Dr. Robert Vincent Madlinger, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd Ste 580, Greenville, SC 29605 Phone: 864-455-7874 Fax: 864-455-7874 | |
Tiffany Deanna Lance, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Support Tower 3rd Floor, Greenville, SC 29605 Phone: 864-455-1435 Fax: 864-455-1320 | |
Ashley Vaughan, Surgery Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd Ste 310, Greenville, SC 29605 Phone: 864-455-8300 Fax: 864-455-8310 | |
Paola Alexandra Rodriguez Morales, Surgery Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-5515 | |
Shanu Nikhil Kothari, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 905 Verdae Blvd Ste 202, Greenville, SC 29607 Phone: 864-676-1072 | |
David Timothy Farr, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 67 Creekside Park Ct, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 |