| Mr Kevin W Jackson, PA-C | |
|
801 Pro Dr Ste D1, Celina, OH 45822-3307 | |
| (419) 586-6489 | |
| (419) 586-8509 |
| Full Name | Mr Kevin W Jackson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 801 Pro Dr Ste D1, Celina, Ohio |
| 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 |
|---|---|---|---|
| 1871986083 | NPI | - | NPPES |
| 0121263 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.004297RX (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grand Lake Health System | Saint marys, OH | Hospital |
| Mercer County Joint Township Community Hospital | Coldwater, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jtdm Family Practice Llc | 2163415837 | 39 |
| Joint Township District Memorial Hospital | 3870491590 | 43 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin W Jackson, PA-C 1140 S Knoxville Ave Ste D, Saint Marys, OH 45885-2609 Ph: (419) 300-1129 | Mr Kevin W Jackson, PA-C 801 Pro Dr Ste D1, Celina, OH 45822-3307 Ph: (419) 586-6489 |
Courtney Westgerdes, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 Pro Dr Ste A, Celina, OH 45822 Phone: 419-586-3113 Fax: 419-586-6560 | |
Mrs. Erica Marie Feison, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 S Main St Ste 10, Celina, OH 45822 Phone: 419-586-6899 | |
Ashley Schoen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 S Main St Ste 5, Celina, OH 45822 Phone: 419-586-1863 | |
Mr. Andrew Michael Klausing, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 Pro Dr Ste D4, Celina, OH 45822 Phone: 419-586-6480 Fax: 419-586-4125 | |
Leslie Johnson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 950 S Main St Ste 10, Celina, OH 45822 Phone: 419-586-6899 | |
Jed E Kohne, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 123 Hamilton St, Celina, OH 45822 Phone: 419-586-5760 Fax: 419-586-1257 |