| John Calvin Jackson Iv, MD | |
|
10565 Brunswick Rd, Ste 1, Grass Valley, CA 95945-9053 | |
| (530) 272-0501 | |
| (530) 272-0571 |
| Full Name | John Calvin Jackson Iv |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 48 Years |
| Location | 10565 Brunswick Rd, Grass Valley, California |
| 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 |
|---|---|---|---|
| 1487689840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G37527 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Auburn Faith Hospital | Auburn, CA | Hospital |
| Sutter Medical Center, Sacramento | Sacramento, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sierra Medical Partnership | 7810321858 | 16 |
| Entity Name | Sierra Medical Partnership |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568015808 PECOS PAC ID: 7810321858 Enrollment ID: O20191227000310 |
| Mailing Address | Practice Location Address |
|---|---|
| John Calvin Jackson Iv, MD 10565 Brunswick Rd, Ste 1, Grass Valley, CA 95945-9053 Ph: (530) 272-0501 | John Calvin Jackson Iv, MD 10565 Brunswick Rd, Ste 1, Grass Valley, CA 95945-9053 Ph: (530) 272-0501 |
Marlowe Gates Dieckmann, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 E Main St, Grass Valley, CA 95945 Phone: 530-477-8545 | |
Karen L Milman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Crown Point Cir, 110, Grass Valley, CA 95945 Phone: 530-265-1459 Fax: 530-265-0894 | |
Dr. David Lee Kessler, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 307 S. Auburn St., Grass Valley, CA 95945 Phone: 530-273-2310 Fax: 530-273-2310 | |
Dr. Garrett M. Eckerling, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Bank St Ste 256, Grass Valley, CA 95945 Phone: 530-277-5207 Fax: 530-432-3130 | |
Daniel John Bibelheimer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 900 E Main St, Suite 301, Grass Valley, CA 95945 Phone: 530-271-3200 Fax: 530-274-6367 | |
Mrs. Neva Marie Monigatti Lake, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 300 Sierra College Dr, Ste 170, Grass Valley, CA 95945 Phone: 530-273-4376 Fax: 530-273-6426 | |
Ethan Shakeel Jefferson, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 280 Sierra College Dr Ste 207, Grass Valley, CA 95945 Phone: 530-477-7390 Fax: 530-477-7389 |