Peter C Jackson (NPI# 1942365994, PAC ID# 3173417151) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1942365994 |
| PAC ID by PECOS | 3173417151 |
| Professional Enrollment ID | I20100917000030 |
| Full Name | Peter C Jackson |
| Address |
11414 W Park Pl Suite 202 Milwaukee WI 53224-3500 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3330 University Ave, Suite 312, Madison, WI 53705-2167 | ||
| 11414 W Park Pl, Suite 202, Milwaukee, WI 53224-3500 |
| Street Address |
11414 W PARK PL SUITE 202 |
| City | MILWAUKEE |
| State | WI |
| Zip | 53224-3500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hedy Schweitzer | Nurse Practitioner | Bcs of Wisconsin Sc | 11414 W Park Pl, Suite 202, Milwaukee, WI 53224-3500 |
| Vaugn A Schneider | Optometry | Seniorwell of Wisconsin LLC | 11414 W Park Pl, Suite 202, Milwaukee, WI 53224-3500 |
| Sandi L Kindig Oguzlu | Nurse Practitioner | Bcs of Wisconsin Sc | 11414 W Park Pl, Suite 202, Milwaukee, WI 53224-3500 |
| Lisa Draze | Nurse Practitioner | Bcs of Wisconsin Sc | 11414 W Park Pl, Suite 202, Milwaukee, WI 53224-3500 |
| Sharon Lee Schulman | Psychologist, Clinical | Bcs of Wisconsin Sc | 11414 W Park Pl, Suite 202, Milwaukee, WI 53224-3500 |
| Monika Zawadzka | Nurse Practitioner | 11414 W Park Pl, Suite 202, Milwaukee, WI 53224-3500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary E Brocker | Chiropractic | 10855 W Park Pl, Milwaukee, WI 53224-3600 | |
| Richard J Kemp | Chiropractic | Chiropractic Company - Milwaukee North Ltd | 10855 W Park Pl, Milwaukee, WI 53224-3600 |
| John S Morrell | Psychologist, Clinical | Cornerstone Counseling Services Inc | 10850 W Park Place, Suite 100, Milwaukee, WI 53224-3636 |
| Allan J Luck | Psychiatry | Cornerstone Counseling Services Inc | 10850 W Park Place, Suite 100, Milwaukee, WI 53224-3636 |
| Vanessa Almeda Hintz | Psychologist, Clinical | Cornerstone Counseling Services Inc | 10850 W Park Place, Suite 100, Milwaukee, WI 53224-3636 |
| Robert W Nohr | Psychologist, Clinical | Cornerstone Counseling Services Inc | 10850 W Park Place, Suite 100, Milwaukee, WI 53224-3636 |
| Dawn M Johanneck | Clinical Social Worker | Cornerstone Counseling Services Inc | 10850 W Park Place, Suite 100, Milwaukee, WI 53224-3636 |
| Sandra E Graham | Clinical Psychologist | Cornerstone Counseling Services, Inc. | 10850 W Park Place, Milwaukee, WI 53224-3636 |
| James J Gerber | Clinical Social Worker | Cornerstone Counseling Services, Inc. | 10850 W Park Place, Milwaukee, WI 53224-3636 |
| City | MILWAUKEE |
| Zip Code | 53224 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | MILWAUKEE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Peter C Jackson.
| 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.