| Horace J Jackson, MD | |
|
505 W Leigh Street, Suite 207, Richmond, VA 23220 | |
| (804) 788-0556 | |
| (804) 788-1141 |
| Full Name | Horace J Jackson |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 50 Years |
| Location | 505 W Leigh Street, Richmond, Virginia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669407003 | NPI | - | NPPES |
| 006954 | Other | VA | ANTHEM BS |
| 006049656 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 0101035670 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bon Secours Memorial Regional Medical Center | Mechanicsville, VA | Hospital |
| Entity Name | Vibra Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1659705424 PECOS PAC ID: 8921233933 Enrollment ID: O20131029001765 |
| Entity Name | Clark Alliance Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952892028 PECOS PAC ID: 8325475981 Enrollment ID: O20200221000372 |
| Mailing Address | Practice Location Address |
|---|---|
| Horace J Jackson, MD 505 W Leigh Street, Suite 207, Richmond, VA 23220 Ph: (804) 788-0556 | Horace J Jackson, MD 505 W Leigh Street, Suite 207, Richmond, VA 23220 Ph: (804) 788-0556 |
Dr. Amy Samantha May Paul, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1250 E Marshall St, Dept. Of Internal Medicine/geriatric Medicine, Richmond, VA 23298 Phone: 804-254-3500 Fax: 804-254-1616 | |
Dr. Clifton Linwood Parker, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 8300 Fulham Drive, Richmond, VA 23227 Phone: 804-264-5901 | |
Dr. Michael A Mistretta, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6600 W Broad St Ste 300, Richmond, VA 23230 Phone: 804-320-4243 Fax: 804-622-0552 | |
Patricia J Sime, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 9000 Stony Point Pkwy, Richmond, VA 23235 Phone: 804-560-8921 Fax: 804-560-8992 | |
Dr. Katherine Lavan Smallwood, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 6900 Forest Ave, Suite 300, Richmond, VA 23230 Phone: 804-346-1515 Fax: 804-270-2888 | |
Walid G. Abou Assi, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 7605 Forest Ave, Suite 109, Richmond, VA 23229 Phone: 804-285-6390 Fax: 804-285-6393 | |
Dr. Paulina Essah, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 719 N 25th St, Richmond, VA 23223 Phone: 804-253-1963 Fax: 804-780-0862 |