| Dr Phillip Jackson, MD | |
|
4609 Schwerin Lake Dr, Corpus Christi, TX 78413-5255 | |
| (361) 808-9383 | |
| (361) 808-9383 |
| Full Name | Dr Phillip Jackson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 4609 Schwerin Lake Dr, Corpus Christi, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023088895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | J4864 (Texas) | Primary |
| 207Q00000X | Family Medicine | J4864 (Texas) | Secondary |
| Entity Name | Refugio County Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821178336 PECOS PAC ID: 1153216783 Enrollment ID: O20040220000853 |
| Entity Name | Pinnacle Emergency Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982664801 PECOS PAC ID: 4880671882 Enrollment ID: O20050120000060 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Phillip Jackson, MD 4609 Schwerin Lake Dr, Corpus Christi, TX 78413-5255 Ph: (361) 808-9383 | Dr Phillip Jackson, MD 4609 Schwerin Lake Dr, Corpus Christi, TX 78413-5255 Ph: (361) 808-9383 |
John Herrick, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2606 Hospital Blvd, Corpus Christi, TX 78405 Phone: 361-902-4000 | |
Ben A Leeson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2606 Hospital Blvd, Emergency Department-memorial, Corpus Christi, TX 78405 Phone: 361-902-4151 | |
Dr. Kimberly Anne Barnes Leeson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2606 Hospital Blvd, Corpus Christi, TX 78405 Phone: 361-902-4151 | |
Marita Rafael, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3533 S Alameda St, Corpus Christi, TX 78411 Phone: 361-694-5100 | |
Louis Needleman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5310 Javelina, Corpus Christi, TX 78413 Phone: 361-985-0470 | |
Larry D Johnson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3614 Ocean Dr., Corpus Christi, TX 78411 Phone: 361-549-1758 Fax: 281-784-1555 |