Patricia Jackson (NPI# 1326146036, PAC ID# 4385603729) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1326146036 |
| PAC ID by PECOS | 4385603729 |
| Professional Enrollment ID | I20041011000042 |
| Full Name | Patricia Jackson |
| Organization Legal Name | PATRICIA JACKSON MD LLC |
| Address |
1111 Medical Ctr Blvd N408 Marrero LA 70072-3151 |
| Phone Number | 5042492908 |
| Gender | F |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7911072335 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190039 | WEST JEFFERSON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1111 Medical Ctr Blvd, N408, Marrero, LA 70072-3151 | 5042492908 | PATRICIA JACKSON MD LLC |
| Organization Legal Name | PATRICIA JACKSON MD LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James O Theis | Family Medicine | Patricia Jackson Md LLC | 1111 Medical Ctr Blvd, N408, Marrero, LA 70072-3151 |
| Street Address |
1111 MEDICAL CTR BLVD N408 |
| City | MARRERO |
| State | LA |
| Zip | 70072-3151 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rudolph M Franklin | Ophthalmology | Joseph Guarnieri | 1111 Medical Ctr Blvd, Suite N213, Marrero, LA 70072-3153 |
| Robert L Applebaum | Neurosurgery | Culicchia Neurological Clinic, LLC | 1111 Medical Ctr Blvd, S750, Marrero, LA 70072-3151 |
| David A Beary | Gastroenterology | 1111 Medical Ctr Blvd, Suite N411, Marrero, LA 70072-3187 | |
| Joseph Guarnieri | Ophthalmology | Joseph Guarnieri | 1111 Medical Ctr Blvd, Suite N213, Marrero, LA 70072-3153 |
| Patti A St. John | Qualified Audiologist | Culicchia Neurological Clinic, LLC | 1111 Medical Ctr Blvd, S750, Marrero, LA 70072-3151 |
| Andrea P Toomer | Physical Medicine and Rehabilitation | Culicchia Neurological Clinic, LLC | 1111 Medical Ctr Blvd, S750, Marrero, LA 70072-3151 |
| Meghan Catherine Messonnier | Physician Assistant | Metropolitan Gastroenterology Associates Apmc | 1111 Medical Ctr Blvd, Suite S450, Marrero, LA 70072-3155 |
| Leo A Pei | Pathology | Metropolitan Gastroenterology Associates Apmc | 1111 Medical Ctr Blvd, Suite S450, Marrero, LA 70072-3155 |
| Leslie G Guitart | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia LLC | 1111 Medical Ctr Blvd, S450, Marrero, LA 70072-3155 |
| Brett Michael Hymel | Gastroenterology | Metropolitan Gastroenterology Associates Apmc | 1111 Medical Ctr Blvd, Suite S450, Marrero, LA 70072-3155 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey B Gillen | Obstetrics/gynecology | New Orleans Physician Services Inc | 4513 Westbank Expressway, Marrero, LA 70072 |
| James K Ellis | Hematology/oncology | New Orleans Physician Services Inc | 4513 Westbank Expressway, Marrero, LA 70072 |
| Ahmad M Shanableh | Internal Medicine | 824 Ave F, Marrero, LA 70072-1940 | |
| Phuong T Vo | Internal Medicine | 7521 Westbank Expressway, Suite E, Marrero, LA 70072-2300 | |
| Paul C Naccari | Physical Therapy | Dynamic Physical Therapy Services LLC | 7520 Westbank Expy, Suite D, Marrero, LA 70072-2354 |
| Jennifer Whatley Vaughn | Physical Therapy | Dynamic Physical Therapy Services LLC | 7520 Westbank Expy, Suite D, Marrero, LA 70072-2354 |
| Scott T Newton | Physical Therapy | Dynamic Physical Therapy Services LLC | 7520 Westbank Expy, Suite D, Marrero, LA 70072-2354 |
| Janie M Irvin | Physical Therapy | Dynamic Physical Therapy Services LLC | 7520 Westbank Expy, Suite D, Marrero, LA 70072-2354 |
| Michelle Sierra | Physical Therapy | Dynamic Physical Therapy Services LLC | 7520 Westbank Expy, Suite D, Marrero, LA 70072-2354 |
| Lauren M Kloepfer | Physical Therapy | Dynamic Physical Therapy Services LLC | 7520 Westbank Expy, Suite D, Marrero, LA 70072-2354 |
| Find all physicians in zip 70072 | |||
| City | MARRERO |
| Zip Code | 70072 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MARRERO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Patricia 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.