| Freeman R Jackson Jr, MD | |
|
600 Green Valley Road, Suite 304, Greensboro, NC 27408 | |
| (336) 282-4840 | |
| Not Available |
| Full Name | Freeman R Jackson Jr |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 21 Years |
| Location | 600 Green Valley Road, Greensboro, North 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 |
|---|---|---|---|
| 1013131994 | NPI | - | NPPES |
| P00969101 | Other | NC | RAILROAD-MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 2009-00104 (North Carolina) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Presbyterian Medical Center | Charlotte, NC | Hospital |
| Novant Health Matthews Medical Center | Matthews, NC | Hospital |
| Novant Health Mint Hill Medical Center | Charlotte, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Anesthesiology Associates Pa | 3971566761 | 240 |
| Entity Name | Providence Anesthesiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396739884 PECOS PAC ID: 3971566761 Enrollment ID: O20041111000930 |
| Mailing Address | Practice Location Address |
|---|---|
| Freeman R Jackson Jr, MD 600 Green Valley Road, 304, Greensboro, NC 27408 Ph: (336) 282-4840 | Freeman R Jackson Jr, MD 600 Green Valley Road, Suite 304, Greensboro, NC 27408 Ph: (336) 282-4840 |
Mary Jennette Judd, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 Green Valley Rd Ste 304, Greensboro, NC 27408 Phone: 336-282-4840 Fax: 336-282-4660 | |
Alexander F Fortune, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3625 N Elm St, Suite 110a, Greensboro, NC 27455 Phone: 336-282-4840 Fax: 336-282-4660 | |
Dr. David A. Crews, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3625 N Elm St, Suite 110a, Greensboro, NC 27455 Phone: 336-282-4840 Fax: 336-282-4660 | |
Kevin D Ossey, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3625 N Elm St, Suite 110a, Greensboro, NC 27455 Phone: 336-282-4840 Fax: 336-282-4840 | |
Dr. John Russum Germeroth, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 501 N Elam Ave, Greensboro, NC 27403 Phone: 336-282-4840 | |
Stephen B. Schuster, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3625 N Elm St, Suite 110a, Greensboro, NC 27455 Phone: 336-282-4840 Fax: 336-282-4660 |