| Richard Thomas Cleary Jackson, MD | |
|
102 Park St, Glens Falls Hospital Neurology, Glens Falls, NY 12801-4403 | |
| (518) 926-2940 | |
| (518) 926-2941 |
| Full Name | Richard Thomas Cleary Jackson |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 16 Years |
| Location | 102 Park St, Glens Falls, New York |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932427218 | NPI | - | NPPES |
| 03767571 | Medicaid | NY |
| Facility Name | Location | Facility Type |
|---|---|---|
| Albany Medical Center Hospital | Albany, NY | Hospital |
| Glens Falls Hospital | Glens falls, NY | Hospital |
| Crouse Hospital | Syracuse, NY | Hospital |
| Wynn Hospital | Utica, NY | Hospital |
| St Peter's Hospital | Albany, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Glens Falls Hospital Inc | 8325955974 | 175 |
| Ellis Hospital | 5890607410 | 250 |
| Mvhs Inc | 2769380252 | 330 |
| Hutchinson Regional Medical Center Inc | 0648181198 | 145 |
| Cumberland County Hospital System Inc | 1850204041 | 581 |
| St Peters Hospital Of The City Of Albany | 2668460072 | 268 |
| Carteret County General Hospital Corporation | 7517877517 | 118 |
| Albany Medical College | 1759293111 | 1054 |
| Rtj Enterprise Neurology, Pllc | 6800372418 | 2 |
| Crouse Medical Practice Pllc | 8426189622 | 187 |
| Genesis Health System | 6103829338 | 262 |
| Entity Name | Ellis Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487644993 PECOS PAC ID: 5890607410 Enrollment ID: O20031103000406 |
| Entity Name | Glens Falls Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336198217 PECOS PAC ID: 8325955974 Enrollment ID: O20031103000498 |
| Entity Name | Rochester General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
| Entity Name | Mvhs Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
| Entity Name | Maimonides Faculty Practice Plan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597 |
| Entity Name | St Peters Hospital of the City of Albany |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518042357 PECOS PAC ID: 2668460072 Enrollment ID: O20040504001301 |
| Entity Name | Mmc Division of Neurology Fpp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497838114 PECOS PAC ID: 6103880794 Enrollment ID: O20041113000270 |
| Entity Name | Crouse Medical Practice PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922321934 PECOS PAC ID: 8426189622 Enrollment ID: O20100702000336 |
| Entity Name | Albany Medical College |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
| Entity Name | Physician Affiliate Group of New York PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013375526 PECOS PAC ID: 4688098833 Enrollment ID: O20200721001270 |
| Entity Name | Rtj Enterprise Neurology, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912754599 PECOS PAC ID: 6800372418 Enrollment ID: O20260114001452 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Thomas Cleary Jackson, MD 100 Park Street, Glens Falls Hospital - Credentialing, Glens Falls, NY 12801-4413 Ph: (518) 926-5924 | Richard Thomas Cleary Jackson, MD 102 Park St, Glens Falls Hospital Neurology, Glens Falls, NY 12801-4403 Ph: (518) 926-2940 |
Bogdan P Sasaran, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 100 Park St, Glens Falls, NY 12801 Phone: 518-926-3265 Fax: 518-926-3273 |
Vinodrai Motilal Parmar, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 420 Glen St, Glens Falls, NY 12801 Phone: 518-793-9155 Fax: 518-793-6778 |
Harry Wallace Mahood Jr., MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1 Lawrence St, Center For Children & Families, Glens Falls, NY 12801 Phone: 518-926-7100 Fax: 518-926-7069 |
Michael William Lenihan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 420 Glen St, Glens Falls, NY 12801 Phone: 518-793-9155 Fax: 518-793-6778 |
Dr. John Michael Myers, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 90 South St, Suite B, Glens Falls, NY 12801 Phone: 518-792-7323 Fax: 518-792-5883 |
Luminita Sasaran, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 Park St, Glens Falls, NY 12801 Phone: 518-926-3210 Fax: 518-926-3215 |
Dr. Sung Hyon, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 100 Park St, Glens Falls Hospital 1-south, Glens Falls, NY 12801 Phone: 518-926-3209 |