| John Jackson Iii, DO | |
|
505 Gopher Dr, Tomah, WI 54660-4513 | |
| (608) 372-4111 | |
| Not Available |
| Full Name | John Jackson Iii |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 39 Years |
| Location | 505 Gopher Dr, Tomah, Wisconsin |
| 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 |
|---|---|---|---|
| 1992850036 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercyone Clinton Medical Center | Clinton, IA | Hospital |
| Tomah Memorial Hospital | Tomah, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Specialty Clinic | 3375639586 | 65 |
| Northwest Miss Regional Medical Center | 3173969177 | 20 |
| Gundersen Clinic Ltd | 9638082779 | 422 |
| Entity Name | Mercy Specialty Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386832764 PECOS PAC ID: 3375639586 Enrollment ID: O20071019000139 |
| Mailing Address | Practice Location Address |
|---|---|
| John Jackson Iii, DO 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | John Jackson Iii, DO 505 Gopher Dr, Tomah, WI 54660-4513 Ph: (608) 372-4111 |
Dr. Rachel A Teske, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971 Fax: 608-372-1249 |
George C Xakellis Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 East Veteran Street, Tomah, WI 54660 Phone: 608-372-1792 |
Ralph H Knudson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1330 N Superior Ave, Tomah, WI 54660 Phone: 608-372-4111 |
Andrew Last, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Butts Ave, Tomah, WI 54660 Phone: 608-372-5999 |
Stacey J Sperlingas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Butts Ave, Tomah, WI 54660 Phone: 608-392-5000 |
Iram Minus, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1330 N Superior Ave, Tomah, WI 54660 Phone: 608-372-4111 |
Dr. William Bateman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: W5296 Bahr Rd., 500 East Veterans, Tomah, WI 54660 Phone: 608-786-2727 |