William Jackson Jr. (NPI# 1023198744, PAC ID# 9739358961) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1023198744 |
| PAC ID by PECOS | 9739358961 |
| Professional Enrollment ID | I20110804000506 |
| Full Name | William Jackson Jr. |
| Organization Legal Name | BE RESTORED INC |
| Address |
1500 Friday Rd Coloma MI 49038-8958 |
| Phone Number | 2694701797 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PAIN MANAGEMENT, PREVENTATIVE MEDICINE |
| Group Practice PAC ID | 7911214952 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1500 Friday Rd, Coloma, MI 49038-8958 | 2694701797 | BE RESTORED INC |
| Organization Legal Name | BE RESTORED INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raquel V Deleon | Nurse Practitioner | Be Restored Inc | 1500 Friday Rd, Coloma, MI 49038-8958 |
| Street Address |
1500 FRIDAY RD |
| City | COLOMA |
| State | MI |
| Zip | 49038-8958 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raquel V Deleon | Nurse Practitioner | Be Restored Inc | 1500 Friday Rd, Coloma, MI 49038-8958 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aurora Madanguit | Internal Medicine | 6572 Red Arrow Hwy, Coloma, MI 49038-8700 | |
| Donald Frederick Brooks | Cardiovascular Disease (cardiology) | 6572 Red Arrow Hwy, Coloma, MI 49038-8700 | |
| Jonathan Nykamp | Nurse Practitioner | Lakeland Community Hospital Watervliet | 7040 Red Arrow Hwy, Coloma, MI 49038-8720 |
| Carly K Reising | Physician Assistant | Lakeland Community Hospital Watervliet | 7040 Red Arrow Hwy, Coloma, MI 49038-8720 |
| Patrick Timothy Casey | Psychologist, Clinical | Lakeland Community Hospital Watervliet | 7040 Red Arrow Hwy, Coloma, MI 49038-8720 |
| Jeffery T Postma | Orthopedic Surgery | Lakeland Community Hospital Watervliet | 6559 Paw Paw Ave, Coloma, MI 49038-8805 |
| James Thomas Maskill | Podiatry | Lakeland Community Hospital Watervliet | 6559 Paw Paw Ave, Coloma, MI 49038-8805 |
| Barbara Allyn Behling-rosa | Physical Medicine and Rehabilitation | Lakeland Community Hospital Watervliet | 6559 Paw Paw Ave, Coloma, MI 49038-8805 |
| Michael P Maskill | Podiatry | Lakeland Community Hospital Watervliet | 6701 Paw Paw Ave, Coloma, MI 49038-9519 |
| Brandi A Smith | Nurse Practitioner | Lakeland Community Hospital Watervliet | 6701 Paw Paw Ave, Coloma, MI 49038-9519 |
| Find all physicians in zip 49038 | |||
| City | COLOMA |
| Zip Code | 49038 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | COLOMA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on William Jackson Jr..
| 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.