| Mr Robert Jackson, FNP | |
|
375 White Plains Rd, Eastchester, NY 10709-2826 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Mr Robert Jackson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 375 White Plains Rd, Eastchester, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396834990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F331987 (New York) | Primary |
| Entity Name | Montefiore Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
| Entity Name | Medical Group Of New York Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487983516 PECOS PAC ID: 2567642044 Enrollment ID: O20110216000235 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert Jackson, FNP 375 White Plains Rd, Eastchester, NY 10709-2826 Ph: (866) 389-2727 | Mr Robert Jackson, FNP 375 White Plains Rd, Eastchester, NY 10709-2826 Ph: (866) 389-2727 |
Ms. Mary Ellen Tracey, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 375 White Plains Rd, Eastchester, NY 10709 Phone: 914-337-5300 | |
Andrea Joseph Blair, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 375 White Plains Rd, Eastchester, NY 10709 Phone: 866-389-2727 | |
Esther Romilus, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 375 White Plains Rd, Eastchester, NY 10709 Phone: 914-337-5300 | |
Bendu Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 375 White Plains Rd, Eastchester, NY 10709 Phone: 866-389-2727 | |
Christina Stephenson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 375 White Plains Rd, Eastchester, NY 10709 Phone: 866-389-2727 | |
Alexandra C Courtien, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 375 White Plains Rd, Eastchester, NY 10709 Phone: 914-337-5300 | |
Dominique Cartica, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 California Rd, Eastchester, NY 10709 Phone: 914-557-9852 |