| Stephen J Jackson, MD | |
|
4716 S 14th St, Abilene, TX 79605-4733 | |
| (325) 232-8668 | |
| (325) 701-9970 |
| Full Name | Stephen J Jackson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 4716 S 14th St, Abilene, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164411013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | F4113 (Texas) | Secondary |
| 207R00000X | Internal Medicine | F4113 (Texas) | Primary |
| Entity Name | Kayenta Alternative Rural Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174692529 PECOS PAC ID: 3678558129 Enrollment ID: O20040621000422 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Comanche County Medical Center Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346544616 PECOS PAC ID: 3678753357 Enrollment ID: O20110825000076 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen J Jackson, MD 4716 S 14th St, Abilene, TX 79605-4733 Ph: (866) 321-8433 | Stephen J Jackson, MD 4716 S 14th St, Abilene, TX 79605-4733 Ph: (325) 232-8668 |
Lindsey Pittillo, FNP-BC Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1957 Antilley Rd, Abilene, TX 79606 Phone: 325-692-0188 | |
Dr. Ralphie Alberto Rosario Feliciano, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1665 Antilley Rd Ste 260, Abilene, TX 79606 Phone: 325-793-5223 Fax: 325-793-5236 | |
Dr. Amelia Lorenzo, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4225 Woods Pl, Abilene, TX 79602 Phone: 325-695-3252 Fax: 325-695-3414 | |
Mustapha Ali Khalife, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Pine St, Abilene, TX 79601 Phone: 253-670-6340 Fax: 903-877-7825 | |
Dr. Patrick Ramirez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1210 N 18th St, Abilene, TX 79601 Phone: 325-670-3636 Fax: 833-464-2631 | |
Dr. Ralph F. Heaven, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 N 19th St, Suite 1a, Abilene, TX 79601 Phone: 325-672-4368 Fax: 325-672-3108 | |
Mrs. Amelia Y Yeh, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3210 Antilley Rd, Abilene, TX 79606 Phone: 325-795-1600 Fax: 325-692-4780 |