| Leslie K Jackson, CRNA | |
|
1600 Rockland Road, Wilmington, DE 19803-3607 | |
| (302) 651-4200 | |
| (302) 651-5365 |
| Full Name | Leslie K Jackson |
|---|---|
| Gender | Female |
| Speciality | Anesthesiologist Assistant |
| Location | 1600 Rockland Road, Wilmington, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215087689 | NPI | - | NPPES |
| Entity Name | Anesthesia Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053366377 PECOS PAC ID: 9537064498 Enrollment ID: O20031203000744 |
| Entity Name | North American Partners In Anesthesia Delaware Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639110406 PECOS PAC ID: 0941113484 Enrollment ID: O20031211000736 |
| Entity Name | Bayhealth Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467546135 PECOS PAC ID: 1658364740 Enrollment ID: O20040405001600 |
| Entity Name | Bayhealth Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1023006434 PECOS PAC ID: 1658364740 Enrollment ID: O20160527000094 |
| Entity Name | Delaware Center For Digestive Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558722561 PECOS PAC ID: 5890089353 Enrollment ID: O20160805000253 |
| Entity Name | Ncb Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962102582 PECOS PAC ID: 1557726130 Enrollment ID: O20230504000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie K Jackson, CRNA P O Box 191, Rockland, DE 19723-0191 Ph: (302) 651-4000 | Leslie K Jackson, CRNA 1600 Rockland Road, Wilmington, DE 19803-3607 Ph: (302) 651-4200 |
Mr. Larry Heredia, CRNA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4200 Fax: 302-651-5365 | |
Ms. Megan K. Wilson, CRNA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4200 Fax: 302-651-5365 |