| Gloria M Jackson, MD | |
|
222 Grafton Dr, Grafton, VA 23692-2152 | |
| (757) 898-7737 | |
| (757) 898-8377 |
| Full Name | Gloria M Jackson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 39 Years |
| Location | 222 Grafton Dr, Grafton, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235123423 | NPI | - | NPPES |
| 010158745 | Medicaid | VA | |
| P00291647 | Other | RR/MEDICARE | |
| 177855 | Other | VA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101043609 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Regional Medical Center | Newport news, VA | Hospital |
| Bon Secours Mary Immaculate Hospital | Newport news, VA | Hospital |
| Sentara Careplex Hospital | Hampton, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidewater Physicians Multispecialty Group Pc | 2860398526 | 253 |
| Entity Name | Tidewater Physicians Multispecialty Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902848294 PECOS PAC ID: 2860398526 Enrollment ID: O20031211000980 |
| Mailing Address | Practice Location Address |
|---|---|
| Gloria M Jackson, MD 860 Omni Blvd Ste 101, Newport News, VA 23606-4430 Ph: (757) 232-8769 | Gloria M Jackson, MD 222 Grafton Dr, Grafton, VA 23692-2152 Ph: (757) 898-7737 |
John Hollingsworth, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101a York Crossing Rd, Grafton, VA 23692 Phone: 757-898-7737 Fax: 757-898-8377 | |
Allison Yeaman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2855 Denbigh Blvd Ste A, Grafton, VA 23692 Phone: 757-968-5700 | |
Dr. Torry Miquel Pledger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2855 Denbigh Blvd Ste A, Grafton, VA 23692 Phone: 757-968-5700 | |
Dr. David Timothy Kramer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2855 Denbigh Blvd Ste A, Grafton, VA 23692 Phone: 757-968-5700 Fax: 757-968-5717 |