| Kathleen J Jackson, RN-APN | |
|
1331 Maestas Rd, Taos, NM 87571-6268 | |
| (575) 776-7806 | |
| (575) 224-3348 |
| Full Name | Kathleen J Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 37 Years |
| Location | 1331 Maestas Rd, Taos, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073619037 | NPI | - | NPPES |
| 9765851 | Other | NJ | CIGNA |
| 60037187 | Other | NJ | HORIZON NJ HEALTH |
| P3845837/2854869 | Other | NJ | OXFORD/UNITED HLTH. |
| 8780803 | Medicaid | NJ |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Cross Hospital A Div Of Taos Health Systems | Taos, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Virtua Medical Group, Pa | 9830222397 | 1674 |
| Taos Picuris Health Center | 5193638245 | 8 |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen J Jackson, RN-APN 602 Wcuthbert Blvd Unit 26 Ste A, Unit 26, Suite A, Westmont, NJ 08108-4197 Ph: (856) 946-5180 | Kathleen J Jackson, RN-APN 1331 Maestas Rd, Taos, NM 87571-6268 Ph: (575) 776-7806 |
Courtney Carabajal, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 413 Sipapu St, Box 6952, Taos, NM 87571 Phone: 575-758-5857 Fax: 575-758-5860 | |
Miss Lisa K Bushnell, C.F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1353 Paseo Del Pueblo Sur Ste D, Taos, NM 87571 Phone: 575-613-8090 Fax: 575-613-8091 | |
Marie Sanchez, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1393 Weimer Rd, Taos, NM 87571 Phone: 575-758-8651 | |
Mrs. Chloe Marie Abreu, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 Gusdorf Rd, Taos, NM 87571 Phone: 575-758-3601 Fax: 575-758-1058 | |
Sarah Hudson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1415 Weimer Rd, Taos, NM 87571 Phone: 575-776-6785 | |
Linda Friedman, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1329 Gusdorf Rd, Taos, NM 87571 Phone: 505-758-5001 Fax: 505-737-5046 |