| Mr Brian John Jackson, PA | |
|
391 Lee Blvd Ste 300, Lehigh Acres, FL 33936-4973 | |
| (239) 369-4088 | |
| Not Available |
| Full Name | Mr Brian John Jackson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 391 Lee Blvd Ste 300, Lehigh Acres, Florida |
| 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 |
|---|---|---|---|
| 1083198659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9111499 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Health St. Mary's Regional Hospital | Grand junction, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Medical Group Grand Junction, Llc | 3779707856 | 297 |
| Entity Name | Intermountain Medical Group Grand Junction, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356765556 PECOS PAC ID: 3779707856 Enrollment ID: O20140611000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brian John Jackson, PA 391 Lee Blvd Ste 300, Lehigh Acres, FL 33936-4973 Ph: Not Available | Mr Brian John Jackson, PA 391 Lee Blvd Ste 300, Lehigh Acres, FL 33936-4973 Ph: (239) 369-4088 |
Loubens Joseph, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3901 12th St W, Lehigh Acres, FL 33971 Phone: 239-722-0921 |
Melissa Becker, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5705 Lee Blvd Ste 1, Lehigh Acres, FL 33971 Phone: 239-343-1800 Fax: 239-343-4041 |
Mrs. Vandana Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 260 Beth Stacey Blvd, Suite 130, Lehigh Acres, FL 33936 Phone: 239-369-4088 |
Shari L Lagodzinski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5705 Lee Blvd Ste 1, Lehigh Acres, FL 33971 Phone: 239-343-1800 Fax: 239-343-4041 |
Mr. Gregg Adam Miller, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8281 Silver Birch Way, Lehigh Acres, FL 33971 Phone: 239-332-8476 |
Charlene M Couillard, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 60 Westminster St N, Suite A, Lehigh Acres, FL 33936 Phone: 239-368-1808 |
Mr. Andrejs Belovs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2625 Lee Blvd Ste 100, Lehigh Acres, FL 33971 Phone: 239-369-3333 Fax: 239-369-4837 |