| George M Jackson, MD | |
|
1030 Nevin Ave, Richmond, CA 94801-3122 | |
| (510) 981-3209 | |
| Not Available |
| Full Name | George M Jackson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1030 Nevin Ave, Richmond, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770517666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | G39327 (California) | Secondary |
| 207R00000X | Internal Medicine | G39327 (California) | Primary |
| Entity Name | Lifelong Medical Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689670002 PECOS PAC ID: 2062304538 Enrollment ID: O20050713000704 |
| Mailing Address | Practice Location Address |
|---|---|
| George M Jackson, MD 2344 6th St, Berkeley, CA 94710-2412 Ph: (925) 254-7869 | George M Jackson, MD 1030 Nevin Ave, Richmond, CA 94801-3122 Ph: (510) 981-3209 |
Robert D. Goldfien, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500 | |
Lolly J. Schiffman, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500 | |
Shaojun Wang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500 | |
Dr. Vikas Chhabra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1555 | |
Dr. Maylene Cochan Briones, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-367-0839 | |
Mira Elnan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1555 | |
Kenneth K. Chen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500 |