| Eugene F Jackson, | |
|
125 Executive Dr, Suite A, Danville, VA 24541-4155 | |
| (434) 793-4711 | |
| (434) 797-2514 |
| Full Name | Eugene F Jackson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 125 Executive Dr, Danville, Virginia |
| 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 |
|---|---|---|---|
| 1548345325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110840446 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sovah Health Danville | Danville, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Danville Physician Practices Llc | 4688606304 | 171 |
| Professional Therapies Of Roanoke, Inc. | 3375710619 | 272 |
| Oandw Enterprises | 6608927298 | 216 |
| Entity Name | Spectrum Medical Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861597072 PECOS PAC ID: 5193624617 Enrollment ID: O20040105000282 |
| Entity Name | Emergency Coverage LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050418000414 |
| Entity Name | Danville Physician Practices LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629022868 PECOS PAC ID: 4688606304 Enrollment ID: O20051007000454 |
| Entity Name | Emergency Coverage Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053351593 PECOS PAC ID: 8820983430 Enrollment ID: O20061003000679 |
| Mailing Address | Practice Location Address |
|---|---|
| Eugene F Jackson, 109 Bridge St, Ste 300, Danville, VA 24541-1222 Ph: (434) 793-4711 | Eugene F Jackson, 125 Executive Dr, Suite A, Danville, VA 24541-4155 Ph: (434) 793-4711 |
Casey Alexander Marsh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 142 S Main St, Danville, VA 24541 Phone: 434-799-2100 |
Tina Smith Gatewood, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 705 Main St, Danville, VA 24541 Phone: 434-791-4123 Fax: 434-791-4126 |
Marian Taylor Strange Mizelle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 117 Executive Dr, Danville, VA 24541 Phone: 434-792-0423 |
Larry C. Phillips Ii, P.A.C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 441 E Piney Forest Rd, Danville, VA 24540 Phone: 434-791-4110 |
Mr. Robert Wayne Hoffert, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 130 Enterprise Dr, Danville, VA 24540 Phone: 434-791-2273 |
Dillon Garrett Phillips, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 142 S Main St, Danville, VA 24541 Phone: 434-713-5696 |
Jeremy Shifflett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 133 Enterprise Dr, Danville, VA 24540 Phone: 434-792-2907 |