| Thomas Andrew Jackson, CRNA | |
|
1995 East State Street, Salem Regional Medical Center, Salem, OH 44460 | |
| (330) 332-1551 | |
| (330) 332-7899 |
| Full Name | Thomas Andrew Jackson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 1995 East State Street, Salem, 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 |
|---|---|---|---|
| 1740649011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | COA.18640-NA (Ohio) | Primary |
| 163W00000X | Registered Nurse | RN.396530-1 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Upmc Horizon | Greenville, PA | Hospital |
| Upmc Jameson | New castle, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Pittsburgh Physicians | 8729990239 | 3868 |
| Entity Name | University Of Pittsburgh Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
| Entity Name | Northstar Anesthesia Of Pennsylvania Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700218989 PECOS PAC ID: 5092941161 Enrollment ID: O20131119001358 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Andrew Jackson, CRNA 2507 N Mercer St, New Castle, PA 16105-1707 Ph: (724) 944-1972 | Thomas Andrew Jackson, CRNA 1995 East State Street, Salem Regional Medical Center, Salem, OH 44460 Ph: (330) 332-1551 |
Laura Melnick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1995 E State St, Salem, OH 44460 Phone: 330-332-1551 | |
Nicholas Inchak, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1995 E State St, Salem, OH 44460 Phone: 330-332-1551 | |
Debra Lynne Skerlec-caylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2050 Allen Rd, Salem, OH 44460 Phone: 330-332-2155 Fax: 330-332-2155 | |
Christopher James Cuic, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1995 E State St, Salem, OH 44460 Phone: 330-332-7214 | |
Eleanor J Mckenzie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1995 E State St, Salem, OH 44460 Phone: 330-332-1551 Fax: 330-332-7663 | |
Adam Leyda, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1995 E State St, Salem, OH 44460 Phone: 330-332-1551 |