| Leon S Jackson, MD | |
|
118 E Haskell St, Winnemucca, NV 89445-3247 | |
| (608) 788-8103 | |
| (608) 788-8799 |
| Full Name | Leon S Jackson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 42 Years |
| Location | 118 E Haskell St, Winnemucca, Nevada |
| 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 |
|---|---|---|---|
| 1285622175 | NPI | - | NPPES |
| 100505784 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 11348 (Nevada) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | G68430 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Lassen Medical Center | Susanville, CA | Hospital |
| Humboldt General Hospital | Winnemucca, NV | Hospital |
| Northern Nevada Medical Center | Sparks, NV | Hospital |
| Plumas District Hospital | Quincy, CA | Hospital |
| Eastern Plumas Hospital - Portola Campus | Portola, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Plumas District Hospital | 8224930466 | 40 |
| Humboldt General Hospital | 5193709798 | 43 |
| Sparks Radiology Group Ltd. | 8820077894 | 5 |
| Banner Health | 9537078365 | 22 |
| Eastern Plumas Health Care District | 4587576889 | 31 |
| Entity Name | Plumas District Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326094269 PECOS PAC ID: 8224930466 Enrollment ID: O20040127000288 |
| Entity Name | Plumas District Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1326094269 PECOS PAC ID: 8224930466 Enrollment ID: O20130227000493 |
| Entity Name | Northstar Radiology - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750788865 PECOS PAC ID: 5395062806 Enrollment ID: O20150321000344 |
| Mailing Address | Practice Location Address |
|---|---|
| Leon S Jackson, MD 2031 32nd St S, La Crosse, WI 54601-7099 Ph: (608) 788-8103 | Leon S Jackson, MD 118 E Haskell St, Winnemucca, NV 89445-3247 Ph: (608) 788-8103 |
Robert Grierson Leckie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 118 E Haskell St, Winnemucca, NV 89445 Phone: 775-623-5222 |