| Olga E Jackson, MD | |
|
175 Madison Ave, Mount Holly, NJ 08060 | |
| (609) 914-6198 | |
| (856) 246-9565 |
| Full Name | Olga E Jackson |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 175 Madison Ave, Mount Holly, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396947792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 25MA09182100 (New Jersey) | Primary |
| 207V00000X | Obstetrics & Gynecology | MD446493 (Pennsylvania) | Secondary |
| Entity Name | Community Health Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700816816 PECOS PAC ID: 9335040419 Enrollment ID: O20040402000981 |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Entity Name | Dhp Of New Jersey Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275896516 PECOS PAC ID: 8820247844 Enrollment ID: O20121009000081 |
| Entity Name | Ob Hospitalist Services New Jersey Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801169966 PECOS PAC ID: 3476859182 Enrollment ID: O20160307001190 |
| Mailing Address | Practice Location Address |
|---|---|
| Olga E Jackson, MD 301 Lippincott Dr Ste 120, Marlton, NJ 08053-4197 Ph: (856) 355-0335 | Olga E Jackson, MD 175 Madison Ave, Mount Holly, NJ 08060 Ph: (609) 914-6198 |
Dr. Helen Gorlitsky, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 120 Madison Ave, Suite B, Mount Holly, NJ 08060 Phone: 609-261-4925 Fax: 609-261-9362 | |
Diana L Scott, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave Fl 2, Mount Holly, NJ 08060 Phone: 609-914-6198 | |
Dr. Lora Waldman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave Fl 3, Mount Holly, NJ 08060 Phone: 609-914-6198 | |
Kathryn Suarez, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 175 Madison Ave Fl 3, Mount Holly, NJ 08060 Phone: 609-914-6198 | |
Leonard Grossman, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 120 Madison Ave, Suite B, Mount Holly, NJ 08060 Phone: 609-261-4925 Fax: 609-261-9362 | |
Dr. Richard Teddy Levine, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 120 Madison Ave, Suite B, Mount Holly, NJ 08060 Phone: 609-261-4925 Fax: 609-261-9362 |