Ingrid W Jackson Md Llc | |
609 W Memorial Rd Oklahoma City OK 73114-2006 | |
(405) 418-0125 | |
Not Available |
Full Name | Ingrid W Jackson Md Llc |
---|---|
Speciality | Family Medicine |
Location | 609 W Memorial Rd, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Ingrid W. Jackson (OWNER) |
Authorized Official Contact | 4054737927 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ingrid W Jackson Md Llc 12101 N Macarthur Blvd. Suite A#105 Oklahoma City OK 73162-1800 Ph: (405) 418-0125 | Ingrid W Jackson Md Llc 609 W Memorial Rd Oklahoma City OK 73114-2006 Ph: (405) 418-0125 |
NPI Number | 1205336187 |
---|---|
Provider Enumeration Date | 02/16/2018 |
Last Update Date | 06/29/2019 |
Medicare PECOS PAC ID | 9335493543 |
---|---|
Medicare Enrollment ID | O20181106002640 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205336187 | NPI | - | NPPES |
100220060 | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 15786 (Oklahoma) | Primary |
Provider Name | Ingrid W Jackson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265492417 PECOS PAC ID: 2062580053 Enrollment ID: I20081003000393 |
Provider Name | Terrence Lakin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083682140 PECOS PAC ID: 1355512138 Enrollment ID: I20220718001808 |
Oklahoma Mental Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4420 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-424-7711 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 S I-35 Service Road, Suite 7, Oklahoma City, OK 73149 Phone: 405-632-1002 Fax: 405-632-3131 | |
St Anthony Primary Care Physicians North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 2020, Oklahoma City, OK 73118 Phone: 405-272-5433 Fax: 405-272-5435 | |
Oklahoma Pain & Rehab Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2149 Sw 59th St, Suite 201, Oklahoma City, OK 73119 Phone: 405-681-5800 | |
Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Robinson Ave, Suite 200, Oklahoma City, OK 73102 Phone: 405-271-8880 Fax: 405-208-8732 | |
St Anthony North Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 1010, Oklahoma City, OK 73118 Phone: 405-772-8687 Fax: 405-772-8688 | |
Barreto Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3418 Nw 135th St, Oklahoma City, OK 73120 Phone: 405-286-1075 Fax: 405-608-1075 |