| Herschel S Jackson Jr, MD | |
|
300 S 8th St, Suite 107#, Murray, KY 42071-2400 | |
| (270) 753-9240 | |
| (270) 767-3629 |
| Full Name | Herschel S Jackson Jr |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 300 S 8th St, Murray, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194792796 | NPI | - | NPPES |
| 020006711 | Other | KY | RAILROAD MEDICARE ID |
| 64159742 | Medicaid | KY | |
| 000000045254 | Other | KY | ANTHEM ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 15974 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Herschel S Jackson Jr, MD 300 S 8th St, Suite 107#, Murray, KY 42071-2400 Ph: (270) 753-9240 | Herschel S Jackson Jr, MD 300 S 8th St, Suite 107#, Murray, KY 42071-2400 Ph: (270) 753-9240 |
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› Verified 6 days ago
Dr. Christopher G Stanczyk, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 300 S 8th St, Suite 107e, Murray, KY 42071 Phone: 270-762-1512 Fax: 270-752-2862 | |
Dr. Steven Lee Trevathan, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 300 S 8th St, Suite 107e, Murray, KY 42071 Phone: 270-762-1512 Fax: 270-752-2862 |