Robert Franklin Jackson Ii (NPI# 1982654828, PAC ID# 2365482189) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1982654828 |
| PAC ID by PECOS | 2365482189 |
| Professional Enrollment ID | I20080721000178 |
| Full Name | Robert Franklin Jackson Ii |
| Organization Legal Name | RACC MEDICAL ASSOCIATES LLC |
| Address |
7635 W Jefferson Blvd Fort Wayne IN 46804-4133 |
| Phone Number | 2607483650 |
| Gender | M |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0648424127 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150011 | MARION GENERAL HOSPITAL |
| 151318 | DUKES MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2607483650 | RACC MEDICAL ASSOCIATES LLC |
| 275 W 12th St, Peru, IN 46970-1655 | 7654728000 | DUKES PHYSICIAN SERVICES LLC |
| 285 W 12th St, Suite 106, Peru, IN 46970-1654 | 7654728041 | DUKES PHYSICIAN SERVICES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 94% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 98% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 88% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 5% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 29% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 6% |
| Organization Legal Name | RACC MEDICAL ASSOCIATES LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lacey Michelle Harvey | Physician Assistant | Racc Medical Associates LLC | 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Thomas A Straub | Physician Assistant | Racc Medical Associates LLC | 2124 N Biomet Dr, Warsaw, IN 46582-7858 |
| Mark A Fisher | Physician Assistant | Racc Medical Associates LLC | 1314 E 7th St, Suite 201, Auburn, IN 46706-2533 |
| Dorinda S Mosbrucker | Nurse Practitioner | Racc Medical Associates LLC | 2512 E Dupont Rd, 200 Summit Pain Management, Fort Wayne, IN 46825-1609 |
| Hary R Ailinani | Physical Medicine and Rehabilitation | Racc Medical Associates LLC | 1314 E 7th St, Suite 201, Auburn, IN 46706-2533 |
| Jason Thomas Gaisford | Physician Assistant | Racc Medical Associates LLC | 2124 N Biomet Dr, Warsaw, IN 46582-7858 |
| Breanna Lee Haglund | Physician Assistant | Racc Medical Associates LLC | 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Daniel C Roth | Physical Medicine and Rehabilitation | Racc Medical Associates LLC | 1314 E 7th St, Suite 201, Auburn, IN 46706-2533 |
| Street Address |
7635 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip | 46804-4133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lacey Michelle Harvey | Physician Assistant | Racc Medical Associates LLC | 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Breanna Lee Haglund | Physician Assistant | Racc Medical Associates LLC | 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Griffith | Speech Language Pathologist | 6205 Constitution Dr, Fort Wayne, IN 46804-1517 | |
| Michael Scherbinski | Clinical Psychologist | Prometheus Psychological Services | 6229 Constitution Dr, Fort Wayne, IN 46804-1517 |
| Jessie Whiteman | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Monique L M Levesque-hartle | Chiropractic | Allen County Chiropractic LLC | 6320 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Amy Harmeyer | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Casey Peterson | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Ashley Brown | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Nicholas Hammond | Physician Assistant | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Barbara L Starry | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Rochelle L Johnson | Nurse Practitioner | Rounding Providers | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Find all physicians in zip 46804 | |||
| City | FORT WAYNE |
| Zip Code | 46804 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | FORT WAYNE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Robert Franklin Jackson Ii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.