| Robert E Jackson Jr, MD | |
|
517 Chesnee Hwy Ste A, Gaffney, SC 29341-2709 | |
| (864) 487-7655 | |
| (864) 487-7818 |
| Full Name | Robert E Jackson Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 44 Years |
| Location | 517 Chesnee Hwy Ste A, Gaffney, South Carolina |
| 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 |
|---|---|---|---|
| 1710965637 | NPI | - | NPPES |
| SCG5856067 | Other | SC | MEDICARE PIN |
| 018797 | Medicaid | SC | |
| SCG5856084 | Other | SC | MEDICARE PIN |
| SCG585J577 | Other | SC | MEDICARE PIN |
| 080075169 | Other | RR MCR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10879 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gentiva Health Services | Gaffney, SC | Home health agency |
| Amedisys Home Health Of Clinton | Clinton, SC | Home health agency |
| Cherokee Medical Center | Gaffney, SC | Hospital |
| Spartanburg Medical Center | Spartanburg, SC | Hospital |
| Pelham Medical Center | Greer, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cherokee Medical Center | 5991041212 | 37 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235170077 PECOS PAC ID: 3072425297 Enrollment ID: O20040322000577 |
| Entity Name | Westgate Family Physicians Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174577258 PECOS PAC ID: 6204992712 Enrollment ID: O20090309000441 |
| Entity Name | Cherokee Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285275305 PECOS PAC ID: 5991041212 Enrollment ID: O20191220002041 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E Jackson Jr, MD Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | Robert E Jackson Jr, MD 517 Chesnee Hwy Ste A, Gaffney, SC 29341-2709 Ph: (864) 487-7655 |
Emily Staggs, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 840 W Floyd Baker Blvd, Gaffney, SC 29341 Phone: 864-489-3300 Fax: 864-488-3744 | |
Baolam Ho, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 722 Hyatt St Ste C, Gaffney, SC 29341 Phone: 644-892-4008 Fax: 864-488-3987 | |
Emma O'keefe, ATC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1115 College Dr, Gaffney, SC 29340 Phone: 864-761-6793 | |
Mrs. Veronica Orick, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1530 N Limestone St, Gaffney, SC 29340 Phone: 864-357-7978 | |
David J Lydon, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 722 Hyatt St, Gaffney, SC 29341 Phone: 864-489-2400 Fax: 864-488-3987 | |
Herbert Francis Barnhill, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 722 Hyatt St, Gaffney, SC 29341 Phone: 864-489-2400 Fax: 864-488-3987 | |
Dr. Barbara C Ray, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1604 N Limestone St, Gaffney, SC 29340 Phone: 864-902-1000 Fax: 864-487-8734 |