| Morris B Jackson, MD | |
|
3920 S Dupont Sq Ste C, Louisville, KY 40207-4615 | |
| (812) 282-3899 | |
| (812) 282-4172 |
| Full Name | Morris B Jackson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 44 Years |
| Location | 3920 S Dupont Sq Ste C, Louisville, Kentucky |
| 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 |
|---|---|---|---|
| 1477511921 | NPI | - | NPPES |
| 64221815 | Medicaid | KY | |
| 201028460 | Medicaid | IN | |
| P00314088 | Other | KY | RAILROAD MEDICARE |
| 00895267 | Other | KY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 22181 (Kentucky) | Primary |
| 208800000X | Urology | 01039636A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Lagrange | La grange, KY | Hospital |
| Baptist Health Louisville | Louisville, KY | Hospital |
| Carroll County Memorial Hospital | Carrollton, KY | Hospital |
| Norton Hospitals, Inc | Louisville, KY | Hospital |
| Jewish Hospital - Shelbyville | Shelbyville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| First Urology Psc | 3779572888 | 53 |
| First Urology Psc | 3779572888 | 53 |
| Entity Name | First Urology Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922099811 PECOS PAC ID: 3779572888 Enrollment ID: O20040512000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Morris B Jackson, MD 101 Hospital Blvd, Jeffersonville, IN 47130-3769 Ph: (812) 282-3899 | Morris B Jackson, MD 3920 S Dupont Sq Ste C, Louisville, KY 40207-4615 Ph: (812) 282-3899 |
Mr. Mohammed Adnan Said, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St Unit 520, Louisville, KY 40202 Phone: 502-588-4740 Fax: 502-588-9537 | |
Dr. Mohammad Amin, MD Urology Medicare: Medicare Enrolled Practice Location: 800 Zorn Ave, Veterans Affairs Medical Center, Louisville, KY 40206 Phone: 502-287-4000 Fax: 502-287-6825 | |
Angelena B. Edwards, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3999 Dutchmans Ln Ste 6f, Louisville, KY 40207 Phone: 502-559-1670 Fax: 502-349-1999 | |
Dr. Kellen Bo Yung Choi, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St Unit 480, Louisville, KY 40202 Phone: 502-588-4740 Fax: 502-588-9537 | |
Ross F Micciche, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 501 E Broadway Ste 270, Louisville, KY 40202 Phone: 502-588-4740 | |
Anthony J. Casale, M.D. Urology Medicare: Medicare Enrolled Practice Location: 234 E Gray St, Suite 662, Louisville, KY 40202 Phone: 502-629-4220 | |
Rosa Park, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St Unit 520, Louisville, KY 40202 Phone: 502-588-4740 |