| Shawn Barrett Jackson, M,D, | |
|
1000 E Primrose St Ste 550, Springfield, MO 65807-5180 | |
| (417) 269-4646 | |
| Not Available |
| Full Name | Shawn Barrett Jackson |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 27 Years |
| Location | 1000 E Primrose St Ste 550, Springfield, Missouri |
| 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 |
|---|---|---|---|
| 1730258708 | NPI | - | NPPES |
| 700100407 | Medicaid | MO | |
| 1101160 | Other | MO | UNITED HEALTHCARE |
| 421539307 | Other | MO | FED TAX ID-TRI-LAKES PATH |
| 1559 | Other | MO | BLUECROSSBLUESHIELD-PATHO |
| 431451388 | Other | MO | FED TAX ID-PATHOLOGY SERV |
| 159012 | Other | MO | BLUECROSSBLUESHIELD-TRI-L |
| 705866705 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 2005005716 (Missouri) | Primary |
| 207ZD0900X | Pathology - Dermatopathology | 2005005716 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cox Medical Centers | Springfield, MO | Hospital |
| Cox Medical Center Branson | Branson, MO | Hospital |
| Cox Monett Hospital | Monett, MO | Hospital |
| Cox Barton County Hospital | Lamar, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pathology Services Of Springfield Pc | 2062308133 | 8 |
| Entity Name | Pathology Services Of Springfield Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801935879 PECOS PAC ID: 2062308133 Enrollment ID: O20040225000699 |
| Entity Name | Citizens Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558548818 PECOS PAC ID: 2769574433 Enrollment ID: O20070827000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Barrett Jackson, M,D, 1000 E Primrose St Ste 550, Springfield, MO 65807-5180 Ph: (417) 269-4646 | Shawn Barrett Jackson, M,D, 1000 E Primrose St Ste 550, Springfield, MO 65807-5180 Ph: (417) 269-4646 |
James Mason Shelley Jr., M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1000 E Primrose St Ste 550, Springfield, MO 65807 Phone: 417-269-4647 Fax: 417-269-8078 | |
Mary Kay Vaske, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Pathology, Springfield, MO 65804 Phone: 417-820-6850 Fax: 417-820-7790 | |
Dr. Steven E. Collum, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2961 Fax: 417-820-7790 | |
Ms. Cassie Lee Booth, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2961 | |
Jason Singh, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2961 | |
Geoffrey Glenn Herndon, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 E Primrose St Ste 550, Springfield, MO 65807 Phone: 417-269-4646 | |
Jon D Lorenzino, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 607 W Battlefield St, Springfield, MO 65807 Phone: 417-869-2000 Fax: 417-881-1850 |