| Sarah Cooper Jackson, MD | |
|
1601 Nw 114th St Ste 345, Clive, IA 50325-7036 | |
| (515) 222-7337 | |
| (515) 222-7340 |
| Full Name | Sarah Cooper Jackson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1601 Nw 114th St Ste 345, Clive, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578898771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | R71110 (Arizona) | Secondary |
| 208000000X | Pediatrics | MD-39615 (Iowa) | Primary |
| Entity Name | Mercy Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457691941 PECOS PAC ID: 7911810882 Enrollment ID: O20031112000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Cooper Jackson, MD Po Box 1475, Des Moines, IA 50305-1475 Ph: (515) 222-7337 | Sarah Cooper Jackson, MD 1601 Nw 114th St Ste 345, Clive, IA 50325-7036 Ph: (515) 222-7337 |
Jon Vanroekel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Nw 114th St., Suite 345, Clive, IA 50325 Phone: 515-222-7337 Fax: 515-222-7340 | |
Ruby Cureg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Nw 114th St, Suite 345, Clive, IA 50325 Phone: 515-222-7337 | |
Stephanie D O'brien, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Nw 114th St Ste 345, Clive, IA 50325 Phone: 515-222-7337 Fax: 515-222-7340 | |
Dr. Brian Leo Waggoner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2555 Berkshire Pkwy Ste A, Clive, IA 50325 Phone: 515-987-0051 Fax: 515-987-0054 |