Edwin Jackson, MD | |
4010 Central Ave, St Petersburg, FL 33711-1239 | |
(727) 327-7656 | |
(727) 388-1192 |
Full Name | Edwin Jackson |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 25 Years |
Location | 4010 Central Ave, St Petersburg, Florida |
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 |
---|---|---|---|
1740294883 | NPI | - | NPPES |
F01714 | Other | FL | FLORIDA HEALTH PARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME 87406 (Florida) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME 87406 (Florida) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Behavioral Health Management Services, Inc | 1456262450 | 16 |
Entity Name | Behavioral Health Management Services, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417052713 PECOS PAC ID: 1456262450 Enrollment ID: O20040115000480 |
Entity Name | Winter Haven Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477599975 PECOS PAC ID: 4789578972 Enrollment ID: O20040210000095 |
Entity Name | Baycare Behavioral Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225312549 PECOS PAC ID: 4688649122 Enrollment ID: O20040830000131 |
Entity Name | Baycare Behavioral Health Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245502152 PECOS PAC ID: 2567624836 Enrollment ID: O20120502000477 |
Mailing Address | Practice Location Address |
---|---|
Edwin Jackson, MD 4024 Central Ave, St Petersburg, FL 33711-1239 Ph: (727) 327-7656 | Edwin Jackson, MD 4010 Central Ave, St Petersburg, FL 33711-1239 Ph: (727) 327-7656 |
Dr. Steven R. Cohen, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2201 Central Ave, Suite 200, St Petersburg, FL 33713 Phone: 727-824-7132 Fax: 727-824-7133 | |
Garcia Jose Desousa, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3334 66th St N, St Petersburg, FL 33710 Phone: 727-341-1333 Fax: 727-347-8675 | |
Dr. Mark Allen Cavitt, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 880 6th St S, Suite 110, St Petersburg, FL 33701 Phone: 727-767-8477 Fax: 727-767-8244 | |
Alina Gonzalez-mayo, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1201 5th Ave N, Suite 305, St Petersburg, FL 33705 Phone: 727-327-3737 Fax: 727-825-1377 | |
Rafael Alberto Beltran Durango, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3637 4th St N, Suite 480, St Petersburg, FL 33704 Phone: 727-894-2341 Fax: 727-894-2386 | |
Dr. Jeffrey Lee Alvaro, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 880 6th St S, Suite 110, St Petersburg, FL 33701 Phone: 727-767-8477 Fax: 727-767-8244 | |
Dr. Lia Nardone, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 145 5th Ave Ne, St Petersburg, FL 33701 Phone: 727-820-0505 Fax: 727-820-9707 |