| Mr Michael Wayne Jackson, CRNA | |
|
100 Fairview Dr, Southampton Memorial Hospital, Franklin, VA 23851-1238 | |
| (757) 569-6125 | |
| Not Available |
| Full Name | Mr Michael Wayne Jackson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 30 Years |
| Location | 100 Fairview Dr, Franklin, Virginia |
| 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 |
|---|---|---|---|
| 1558379362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 24099232 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southampton Memorial Hospital | Franklin, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Virginia Gastroenterology Institute Pc | 1951604677 | 10 |
| Bon Secours Medical Group Hampton Roads Specialty Care Llc | 3173955671 | 159 |
| Capital Digestive Care Llc | 3870669419 | 206 |
| Entity Name | Bayview Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508813387 PECOS PAC ID: 5597664201 Enrollment ID: O20031231000719 |
| Entity Name | Hampton Roads Gastroenterology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871684563 PECOS PAC ID: 5698755015 Enrollment ID: O20040724000234 |
| Entity Name | Virginia Anesthesia And Perioperative Care Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760417281 PECOS PAC ID: 2062419377 Enrollment ID: O20061030000565 |
| Entity Name | American Anesthesiology Of Virginia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606 |
| Entity Name | Commonwealth Vascular Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194004093 PECOS PAC ID: 1658542493 Enrollment ID: O20110927000497 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20130724000770 |
| Entity Name | Virginia Gastroenterology Institute Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134593494 PECOS PAC ID: 1951604677 Enrollment ID: O20160129000384 |
| Entity Name | Goodwin & Snyder Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508391129 PECOS PAC ID: 3577833466 Enrollment ID: O20170726000929 |
| Entity Name | Lifelinc Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20180130000628 |
| Entity Name | Bon Secours Medical Group Hampton Roads Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629637475 PECOS PAC ID: 3173955671 Enrollment ID: O20191122000258 |
| Entity Name | Capital Digestive Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992752521 PECOS PAC ID: 3870669419 Enrollment ID: O20211124000446 |
| Entity Name | Northstar Anesthesia Of Virginia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20221205003063 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Wayne Jackson, CRNA 321 Western Ave, Suffolk, VA 23434-4931 Ph: (757) 539-4034 | Mr Michael Wayne Jackson, CRNA 100 Fairview Dr, Southampton Memorial Hospital, Franklin, VA 23851-1238 Ph: (757) 569-6125 |
Jonathan Wright, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Wynnwood Dr, Franklin, VA 23851 Phone: 757-651-8304 Fax: 660-826-4852 | |
Brian R. Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Fairview Dr, Franklin, VA 23851 Phone: 757-569-6100 | |
Peter William James, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Fairview Dr, Franklin, VA 23851 Phone: 757-569-6277 |