| Roy Harper Jackson, MD | |
|
65 N Madison Ave Ste 709, Pasadena, CA 91101-2046 | |
| (626) 792-4185 | |
| (626) 792-7358 |
| Full Name | Roy Harper Jackson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 51 Years |
| Location | 65 N Madison Ave Ste 709, Pasadena, California |
| 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 |
|---|---|---|---|
| 1669424982 | NPI | - | NPPES |
| 00G301840 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G30184 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Monarch Palliative Care, Inc. | Montebello, CA | Hospice |
| University Of California Irvine Medical Center | Orange, CA | Hospital |
| Entity Name | Roy Harper Jackson, M.d., Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659452092 PECOS PAC ID: 1456395052 Enrollment ID: O20050614001474 |
| Mailing Address | Practice Location Address |
|---|---|
| Roy Harper Jackson, MD 65 N Madison Ave Ste 709, Pasadena, CA 91101-2046 Ph: (626) 792-4185 | Roy Harper Jackson, MD 65 N Madison Ave Ste 709, Pasadena, CA 91101-2046 Ph: (626) 792-4185 |
Ms. Kimberly Anne Shriner, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 50 Alessandro Pl, Suite 360, Pasadena, CA 91105 Phone: 626-793-6133 Fax: 626-793-6135 | |
Praneet Kalkat, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 960 E Green St Ste 105, Pasadena, CA 91106 Phone: 626-304-0782 Fax: 626-310-0552 | |
Gargi H Upadhyaya, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1121 Arden Rd, Pasadena, CA 91106 Phone: 626-256-4673 | |
Lu Jiao, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 S Fair Oaks Ave, Suite 300, Pasadena, CA 91105 Phone: 626-795-7556 | |
Dr. Mindy Eve Tittiger, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 W California Blvd, Pasadena, CA 91105 Phone: 626-352-1444 | |
Kristin J Karlyn, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1044 S Fair Oaks Ave Ste 101, Pasadena, CA 91105 Phone: 626-734-7870 Fax: 626-593-6550 | |
Dr. Glenn David Littenberg, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 630 S Raymond Ave, Suite 240, Pasadena, CA 91105 Phone: 626-449-9920 Fax: 626-578-7366 |