| Michael Deangelo Jackson, NURSE PRACTITIONER | |
|
1061 Tierra Del Rey Ste 200, Chula Vista, CA 91910-7881 | |
| (855) 501-1004 | |
| Not Available |
| Full Name | Michael Deangelo Jackson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1061 Tierra Del Rey Ste 200, Chula Vista, California |
| 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 |
|---|---|---|---|
| 1821879958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95027684 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Research Foundation Inc | 6800825332 | 63 |
| Entity Name | Community Research Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952328700 PECOS PAC ID: 6800825332 Enrollment ID: O20050804001256 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Deangelo Jackson, NURSE PRACTITIONER 3835 N Freeway Blvd Ste 100, Sacramento, CA 95834-1954 Ph: Not Available | Michael Deangelo Jackson, NURSE PRACTITIONER 1061 Tierra Del Rey Ste 200, Chula Vista, CA 91910-7881 Ph: (855) 501-1004 |
Linda Helen Marshall, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 751 Medical Center Ct, Chula Vista, CA 91911 Phone: 619-502-5946 |
Shulami Park Lee, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 353 H St, Chula Vista, CA 91910 Phone: 858-552-8585 Fax: 858-642-6325 |
Stephanie Reittinger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 865 3rd Ave Ste 101, Chula Vista, CA 91911 Phone: 619-426-7910 Fax: 619-426-2337 |
Jessica Glorioso Rubic, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1161 Third Ave, Chula Vista, CA 91911 Phone: 858-547-7100 |
Karen Vogel, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Lane Ave Ste 114, Chula Vista, CA 91914 Phone: 877-840-6956 Fax: 619-383-6701 |
Sarah Ju Young Keum, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 4th Ave Ste 311, Chula Vista, CA 91910 Phone: 619-371-9156 |
Genevieve Della Rosa Deutsch, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 765 Medical Center Ct Ste 209, Chula Vista, CA 91911 Phone: 619-427-8892 Fax: 619-422-7660 |