| Robert Eric Jackson, MD | |
|
374 Brink St, Lawrenceburg, TN 38464-3280 | |
| (931) 762-6548 | |
| Not Available |
| Full Name | Robert Eric Jackson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 29 Years |
| Location | 374 Brink St, Lawrenceburg, Tennessee |
| 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 |
|---|---|---|---|
| 1144305152 | NPI | - | NPPES |
| 362126638A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 50448 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| W D Bill Manning Tennessee State Veterans Home | Humboldt, TN | Nursing home |
| Dickson Health And Rehab | Dickson, TN | Nursing home |
| Tennessee Veterans Home | Murfreesboro, TN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Afc Physicians Of Tennessee Pc | 5395924823 | 23 |
| Entity Name | Afc Physicians Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114234523 PECOS PAC ID: 5395924823 Enrollment ID: O20110128000880 |
| Entity Name | Jackson Primary Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235634023 PECOS PAC ID: 9638411333 Enrollment ID: O20190429002878 |
| Entity Name | Glutality Provider Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083256168 PECOS PAC ID: 9032549837 Enrollment ID: O20200914001123 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20210806002739 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Eric Jackson, MD 2717 E Oakland Ave, Johnson City, TN 37601-1843 Ph: (239) 262-3584 | Robert Eric Jackson, MD 374 Brink St, Lawrenceburg, TN 38464-3280 Ph: (931) 762-6548 |
Dr. Micky L Busby, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 317 W Gaines St, Lawrenceburg, TN 38464 Phone: 931-762-9665 Fax: 931-766-0767 | |
Mrs. Frances Ann Berry Brown, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 233 East Gaines St, Lawrenceburg, TN 38464 Phone: 931-762-1144 Fax: 931-766-0045 | |
Haresh H Khatri, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 416 N Locust Ave, Lawrenceburg, TN 38464 Phone: 931-762-5115 Fax: 931-762-5170 | |
Mr. Jayraj C Shah, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 416 N Locust Ave, Lawrenceburg, TN 38464 Phone: 931-762-8588 Fax: 931-766-1010 | |
Dr. John Ramsey Ferguson, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1607 S Locust Ave, Lawrenceburg, TN 38464 Phone: 931-762-6571 | |
Alvin Maliakal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 184 Prosser Rd, Lawrenceburg, TN 38464 Phone: 931-762-1800 Fax: 931-762-9155 |