| Mrs Jenny Jackson, PA-C | |
|
243 Willis Ave, Mineola, NY 11501 | |
| (516) 742-1730 | |
| (516) 873-1641 |
| Full Name | Mrs Jenny Jackson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 243 Willis Ave, Mineola, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386767440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 011580 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital For Cancer And Allied Diseases | New york, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Msk Nassau | 8628311685 | 100 |
| Mskcc Regional Network | 6608765144 | 130 |
| Entity Name | Mskcc Regional Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740251297 PECOS PAC ID: 6608765144 Enrollment ID: O20040312000936 |
| Entity Name | Mskcc Surgery Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699766261 PECOS PAC ID: 0345131405 Enrollment ID: O20040320000446 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| Entity Name | Msk Nassau |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053875229 PECOS PAC ID: 8628311685 Enrollment ID: O20190522000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jenny Jackson, PA-C 243 Willis Ave, Mineola, NY 11501-2432 Ph: (516) 742-1730 | Mrs Jenny Jackson, PA-C 243 Willis Ave, Mineola, NY 11501 Ph: (516) 742-1730 |
Gina Carucci, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-0333 |
Mr. James Valloor, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 419 Wilson Blvd, Mineola, NY 11501 Phone: 516-395-4229 |
Monica Da Silva Oliveira, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Old Country Rd, Mineola, NY 11501 Phone: 516-877-0977 |
Charles Summers, CHARLES SUMMERS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-8312 Fax: 516-663-2184 |
Miss Michele White, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-2337 |
Aimee Hsu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-8312 |
Kasey Lorraine Innamorato, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-9734 |