| Sandy A Jackson, | |
|
14 Center St, Cuba, NY 14727-1002 | |
| (585) 968-3210 | |
| Not Available |
| Full Name | Sandy A Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 14 Center St, Cuba, 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 |
|---|---|---|---|
| 1043671530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 340897 (New York) | Primary |
| 163W00000X | Registered Nurse | 501034 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jones Memorial Hospital | Wellsville, NY | Hospital |
| Olean General Hospital | Olean, NY | Hospital |
| Cuba Memorial Hospital, Inc | Cuba, NY | Hospital |
| Kaleida Health | Buffalo, NY | Hospital |
| St James Mercy Hospital | Hornell, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Olean Medical Practice Pllc | 0042698045 | 55 |
| Entity Name | Olean Medical Group Partnership |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689669541 PECOS PAC ID: 1951203850 Enrollment ID: O20040122000168 |
| Entity Name | Olean Medical Practice Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285384412 PECOS PAC ID: 0042698045 Enrollment ID: O20220603000542 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy A Jackson, 47 Rochambeau Avenue Ext, Andover, NY 14806-9606 Ph: () - | Sandy A Jackson, 14 Center St, Cuba, NY 14727-1002 Ph: (585) 968-3210 |
Julie Whitcher, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 W Main St, Cuba, NY 14727 Phone: 716-375-7500 | |
Shayla Tatham, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45 W Main St, Cuba, NY 14727 Phone: 585-968-1628 | |
Robin C Aftuck, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 W Main St, Cuba, NY 14727 Phone: 716-375-7500 Fax: 716-701-6888 | |
Mr. Brad Pecherzewski, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Center St, Cuba, NY 14727 Phone: 585-968-3210 Fax: 585-968-3031 | |
Nicole Drake, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 W Main St, Cuba, NY 14727 Phone: 585-968-1628 | |
Ruth A Brewer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 W Main St, Cuba, NY 14727 Phone: 585-968-2000 Fax: 585-968-0371 |