| Dr Eric A Jackson, DO | |
|
811 Sixth Street, Suite #210, Wichita Falls, TX 76301 | |
| (940) 761-6004 | |
| Not Available |
| Full Name | Dr Eric A Jackson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 11 Years |
| Location | 811 Sixth Street, Suite #210, Wichita Falls, Texas |
| 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 |
|---|---|---|---|
| 1518042233 | NPI | - | NPPES |
| 192110801 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | TPA00011 (Mississippi) | Secondary |
| 207P00000X | Emergency Medicine | DO TRAINING CERT. (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Thomas West Hospital | Nashville, TN | Hospital |
| Saint Thomas Rutherford Hospital | Murfreesboro, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Middle Tennessee Emergency Physicians, P.c. | 3678464526 | 77 |
| Entity Name | Middle Tennessee Emergency Physicians, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194758979 PECOS PAC ID: 3678464526 Enrollment ID: O20040322001049 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric A Jackson, DO 811 Sixth Street, Suite #210, Wichita Falls, TX 76301 Ph: (940) 761-6004 | Dr Eric A Jackson, DO 811 Sixth Street, Suite #210, Wichita Falls, TX 76301 Ph: (940) 761-6004 |
Dr. Cortnie H Walker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 11th St, Emergency Dept, Wichita Falls, TX 76301 Phone: 732-742-1491 | |
Dr. Armando Moreno, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 11th St, Wichita Falls, TX 76301 Phone: 940-764-7000 | |
Dr. Rodrigo X Menchaca, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 11th St, Wichita Falls, TX 76301 Phone: 940-764-7000 | |
Dr. Cesar Porta, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 11th St, Wichita Falls, TX 76301 Phone: 940-764-7000 | |
Dr. Ramasamy Selvaraj, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 11th St, Wichita Falls, TX 76301 Phone: 940-764-7000 | |
Dr. Stuart Meyer, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 11th St, Wichita Falls, TX 76301 Phone: 940-764-7000 |