| Teresa Jackson-novak, MD | |
|
39407 Vista Del Sol, Rancho Mirage, CA 92270-3283 | |
| (760) 423-6811 | |
| Not Available |
| Full Name | Teresa Jackson-novak |
|---|---|
| Gender | Female |
| Speciality | Preventive Medicine - Addiction Medicine |
| Location | 39407 Vista Del Sol, Rancho Mirage, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700982444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083A0300X | Preventive Medicine - Addiction Medicine | A71589 (California) | Primary |
| Entity Name | King County Public Hospital District No 2 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801986070 PECOS PAC ID: 7618880097 Enrollment ID: O20031111000557 |
| Entity Name | Public Hospital District 1 Of Snohomish County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013074061 PECOS PAC ID: 3274426259 Enrollment ID: O20040204000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa Jackson-novak, MD 39407 Vista Del Sol, Rancho Mirage, CA 92270-3283 Ph: (760) 423-6706 | Teresa Jackson-novak, MD 39407 Vista Del Sol, Rancho Mirage, CA 92270-3283 Ph: (760) 423-6811 |
Dr. Lawrence Earl, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 155 Waterford Cir, Rancho Mirage, CA 92270 Phone: 908-879-7730 Fax: 908-879-4575 | |
Dr. Wayne Dion Starks, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 72057 Highway 111, Rancho Mirage, CA 92270 Phone: 760-619-3053 Fax: 760-619-3054 |