Casey G Jackson (NPI# 1104834555, PAC ID# 5597868828) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1104834555 |
| PAC ID by PECOS | 5597868828 |
| Professional Enrollment ID | I20091022000461 |
| Full Name | Casey G Jackson |
| Organization Legal Name | PACIFIC INPATIENT MEDICAL GROUP INC |
| Address |
3555 Cesar Chavez San Francisco CA 94110-4403 |
| Phone Number | 4154858824 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6608956966 |
| Number of Group Practice Members | 82 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050055 | CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 2333 Buchanan St, San Francisco, CA 94115-1925 | 4154858824 | PACIFIC INPATIENT MEDICAL GROUP INC |
| 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 4154858824 | PACIFIC INPATIENT MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 93% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 85% |
| Organization Legal Name | PACIFIC INPATIENT MEDICAL GROUP INC |
| Physicians | 87 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yu-chen Hu | Internal Medicine | Pacific Inpatient Medical Group Inc | 3555 Cesar Chavez, San Francisco, CA 94110-4403 |
| Justin R Yu | Internal Medicine | Pacific Inpatient Medical Group Inc | 3555 Cesar Chavez, San Francisco, CA 94110-4403 |
| Carlo S Magtibay | Internal Medicine | Pacific Inpatient Medical Group Inc | 3555 Cesar Chavez, San Francisco, CA 94110-4403 |
| Stefani L Wedl | Internal Medicine | Pacific Inpatient Medical Group Inc | 3555 Cesar Chavez, San Francisco, CA 94110-4403 |
| Phillip W Kennedy | Internal Medicine | Pacific Inpatient Medical Group Inc | 2333 Buchanan St, San Francisco, CA 94115-1925 |
| Fabiola Cobarrubias | Internal Medicine | Pacific Inpatient Medical Group Inc | 2333 Buchanan St, San Francisco, CA 94115-1925 |
| Hirofumi Hashimoto | Internal Medicine | Pacific Inpatient Medical Group Inc | 2333 Buchanan St, San Francisco, CA 94115-1925 |
| Lauren W Wu | Internal Medicine | Pacific Inpatient Medical Group Inc | 3555 Cesar Chavez, San Francisco, CA 94110-4403 |
| Mei Zhu Peng | Internal Medicine | Pacific Inpatient Medical Group Inc | 3555 Cesar Chavez, San Francisco, CA 94110-4403 |
| Jane Park | Internal Medicine | Pacific Inpatient Medical Group Inc | 2333 Buchanan St, San Francisco, CA 94115-1925 |
| Street Address |
3555 CESAR CHAVEZ |
| City | SAN FRANCISCO |
| State | CA |
| Zip | 94110-4403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward L Baker | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 3555 Cesar Chavez, San Francisco, CA 94110-4403 |
| Yu-chen Hu | Internal Medicine | Pacific Inpatient Medical Group Inc | 3555 Cesar Chavez, San Francisco, CA 94110-4403 |
| Justin R Yu | Internal Medicine | Pacific Inpatient Medical Group Inc | 3555 Cesar Chavez, San Francisco, CA 94110-4403 |
| Carlo S Magtibay | Internal Medicine | Pacific Inpatient Medical Group Inc | 3555 Cesar Chavez, San Francisco, CA 94110-4403 |
| Stefani L Wedl | Internal Medicine | Pacific Inpatient Medical Group Inc | 3555 Cesar Chavez, San Francisco, CA 94110-4403 |
| Susan K Stevens | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 3555 Cesar Chavez, San Francisco, CA 94110-4403 |
| Myron Marx | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 3555 Cesar Chavez, San Francisco, CA 94110-4403 |
| Derk D Purcell | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 3555 Cesar Chavez, San Francisco, CA 94110-4403 |
| Lauren W Wu | Internal Medicine | Pacific Inpatient Medical Group Inc | 3555 Cesar Chavez, San Francisco, CA 94110-4403 |
| Mei Zhu Peng | Internal Medicine | Pacific Inpatient Medical Group Inc | 3555 Cesar Chavez, San Francisco, CA 94110-4403 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meredith L Bassler | Nurse Practitioner | One Medical Group Inc | 580 Valencia St, San Francisco, CA 94110-1115 |
| Steven Lawton | Family Medicine | One Medical Group Inc | 580 Valencia St, San Francisco, CA 94110-1115 |
| Luis Rodriguez | Family Medicine | One Medical Group Inc | 580 Valencia St, San Francisco, CA 94110-1115 |
| Alison Suzanne Hathaway | Nurse Practitioner | One Medical Group Inc | 580 Valencia St, San Francisco, CA 94110-1115 |
| Michele H Maas | Clinical Social Worker | Native American Health Center Inc | 160 Capp St, San Francisco, CA 94110-1210 |
| Christopher J Balkissoon | Nurse Practitioner | Native American Health Center Inc | 160 Capp St, San Francisco, CA 94110-1210 |
| Tolbert J Small | Internal Medicine | Native American Health Center Inc | 160 Capp St, San Francisco, CA 94110-1210 |
| Barbara Lynn Newman | Emergency Medicine | Native American Health Center Inc | 160 Capp St, San Francisco, CA 94110-1210 |
| John Gilbert Soriano | Physical Therapy | 20 Sycamore St, San Francisco, CA 94110-1222 | |
| Peter Nehrebecki | Optometry | 240 Shotwell St, Suite 206, San Francisco, CA 94110-1323 | |
| Find all physicians in zip 94110 | |||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAN FRANCISCO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Casey G 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.