| Dallas Taylor Jackson, | |
|
19277 Plantation Rd, Rehoboth Beach, DE 19971-4411 | |
| (302) 567-1500 | |
| Not Available |
| Full Name | Dallas Taylor Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 19277 Plantation Rd, Rehoboth Beach, Delaware |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437836665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | LG-0012827 (Delaware) | Primary |
| 163W00000X | Registered Nurse | L1-0055490 (Delaware) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beebe Medical Center | Lewes, DE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atracare Walk-in Llc | 4486029592 | 17 |
| Aspira Health | 4486080389 | 13 |
| Entity Name | Aspira Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295394039 PECOS PAC ID: 4486080389 Enrollment ID: O20200213001301 |
| Entity Name | Atracare Walk-in Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982310108 PECOS PAC ID: 4486029592 Enrollment ID: O20230403001976 |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Taylor Jackson, 19277 Plantation Rd, Rehoboth Beach, DE 19971-4411 Ph: (302) 567-1500 | Dallas Taylor Jackson, 19277 Plantation Rd, Rehoboth Beach, DE 19971-4411 Ph: (302) 567-1500 |
Elizabeth Marie Wilson, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 18947 John J Williams Hwy, Rehoboth Beach, DE 19971 Phone: 302-645-3770 Fax: 302-645-5718 | |
Jeffrey Lee Shralow, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19409 Plantation Rd Ste 4, Rehoboth Beach, DE 19971 Phone: 215-292-0307 | |
Catherine M Haut, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18947 John J Williams Hwy, Suite 212, Rehoboth Beach, DE 19971 Phone: 302-645-8212 Fax: 302-645-5041 | |
Kathryn A Mangion, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18947 John J Williams Hwy, Suite 210, Rehoboth Beach, DE 19971 Phone: 302-645-3121 | |
Rhonda Kay Owens, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 18947 John J Williams Hwy, Rehoboth Beach, DE 19971 Phone: 302-645-3770 | |
Kyle John Lambert, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18947 John J Williams Hwy Unit 213, Rehoboth Beach, DE 19971 Phone: 302-600-1124 | |
Aimee Lynn Dell'arciprete, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19161 Healthy Way Unit 100, Rehoboth Beach, DE 19971 Phone: 302-645-3010 Fax: 302-645-3814 |