| Jackson Physician Corp | |
|
424 Jett Dr Jackson KY 41339-9621 | |
| (066) 936-4830 | |
| Not Available |
| Full Name | Jackson Physician Corp |
|---|---|
| Speciality | General Practice |
| Location | 424 Jett Dr, Jackson, Kentucky |
| Authorized Official Name and Position | Laura J Fey (SR. DIRECTOR PHYSICIAN REV CYCLE) |
| Authorized Official Contact | 6152213641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Physician Corp Po Box 5009 Brentwood TN 37024-5009 Ph: (615) 221-3641 | Jackson Physician Corp 424 Jett Dr Jackson KY 41339-9621 Ph: (066) 936-4830 |
| NPI Number | 1841234671 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 10/03/2023 |
| Medicare PECOS PAC ID | 9436149275 |
|---|---|
| Medicare Enrollment ID | O20040514000238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841234671 | NPI | - | NPPES |
| 65930364 | Medicaid | KY |
| Provider Name | Shamik Aikat |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1497762314 PECOS PAC ID: 0042272445 Enrollment ID: I20041028000504 |
| Provider Name | Mark K Castle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720041478 PECOS PAC ID: 3375633290 Enrollment ID: I20071217000014 |
| Provider Name | Aaron W Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083804041 PECOS PAC ID: 7719058353 Enrollment ID: I20090330000065 |
| Provider Name | Eunice L Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528067840 PECOS PAC ID: 4486820149 Enrollment ID: I20111229000601 |
| Provider Name | Sreenivasa R Alla |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972735025 PECOS PAC ID: 2668615642 Enrollment ID: I20130822000063 |
| Provider Name | Anand Modadugu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669674206 PECOS PAC ID: 3274624242 Enrollment ID: I20151223001117 |
| Provider Name | Kathryn A Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295283448 PECOS PAC ID: 8921387978 Enrollment ID: I20161114002471 |
| Provider Name | Moh'd Sbeih |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912273962 PECOS PAC ID: 0840560660 Enrollment ID: I20170726002801 |
| Provider Name | Brittney Denise Herald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053960534 PECOS PAC ID: 8729411327 Enrollment ID: I20191212002810 |
| Provider Name | Jerrica Duty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992436166 PECOS PAC ID: 0244610475 Enrollment ID: I20220706002515 |
St. John Neumann's Extended Hours Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1389 Highway 15 North, Jackson, KY 41339 Phone: 606-666-4011 Fax: 606-666-5801 | |
Juniper Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Lbj Rd, Jackson, KY 41339 Phone: 606-464-0151 Fax: 606-464-0152 | |
Juniper Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2307 Bobcat Ln, Jackson, KY 41339 Phone: 606-464-0151 Fax: 606-464-0152 | |
Clemente V. Zulueta, Jr., Md, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 95 Jackson Hts, Ste 201, Jackson, KY 41339 Phone: 606-693-1078 Fax: 606-693-1079 | |
United Clinics Of Kentucky Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 95 Jackson Hts Ste A, Jackson, KY 41339 Phone: 606-718-6505 Fax: 606-272-6180 | |
Saint Mark's Family And Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 Jackson Hts, Jackson, KY 41339 Phone: 606-693-0199 Fax: 606-693-0299 | |
Juniper Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 244 L B J Rd, Jackson, KY 41339 Phone: 606-464-0151 Fax: 606-464-0152 |