Jackson Physician Corp - Medicare Primary Care in Jackson, KY

Jackson Physician Corp is a medicare enrolled primary clinic (General Practice) in Jackson, Kentucky. The current practice location for Jackson Physician Corp is 424 Jett Dr, Jackson, Kentucky. For appointments, you can reach them via phone at (066) 936-4830. The mailing address for Jackson Physician Corp is Po Box 5009, Brentwood, Tennessee and phone number is (615) 221-3641.

Jackson Physician Corp is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1841234671. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (066) 936-4830.

Contact Information

Jackson Physician Corp
424 Jett Dr
Jackson
KY 41339-9621
(066) 936-4830
Not Available

Primary Care Clinic Profile

Full NameJackson Physician Corp
SpecialityGeneral Practice
Location424 Jett Dr, Jackson, Kentucky
Authorized Official Name and PositionLaura J Fey (SR. DIRECTOR PHYSICIAN REV CYCLE)
Authorized Official Contact6152213641
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jackson Physician Corp
Po Box 5009
Brentwood
TN 37024-5009

Ph: (615) 221-3641
Jackson Physician Corp
424 Jett Dr
Jackson
KY 41339-9621

Ph: (066) 936-4830

NPI Details:

NPI Number1841234671
Provider Enumeration Date06/15/2006
Last Update Date10/03/2023

Medicare PECOS Information:

Medicare PECOS PAC ID9436149275
Medicare Enrollment IDO20040514000238

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Medical Identifiers

Medical identifiers for Jackson Physician Corp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841234671NPI-NPPES
65930364MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Primary
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jackson Physician Corp acts as a billing entity for following providers:
Provider NameShamik Aikat
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1497762314
PECOS PAC ID: 0042272445
Enrollment ID: I20041028000504

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Provider NameMark K Castle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720041478
PECOS PAC ID: 3375633290
Enrollment ID: I20071217000014

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Provider NameAaron W Johnson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083804041
PECOS PAC ID: 7719058353
Enrollment ID: I20090330000065

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Provider NameEunice L Johnson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1528067840
PECOS PAC ID: 4486820149
Enrollment ID: I20111229000601

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Provider NameSreenivasa R Alla
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1972735025
PECOS PAC ID: 2668615642
Enrollment ID: I20130822000063

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Provider NameAnand Modadugu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669674206
PECOS PAC ID: 3274624242
Enrollment ID: I20151223001117

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Provider NameKathryn A Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295283448
PECOS PAC ID: 8921387978
Enrollment ID: I20161114002471

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Provider NameMoh'd Sbeih
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1912273962
PECOS PAC ID: 0840560660
Enrollment ID: I20170726002801

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Provider NameBrittney Denise Herald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053960534
PECOS PAC ID: 8729411327
Enrollment ID: I20191212002810

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Provider NameJerrica Duty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992436166
PECOS PAC ID: 0244610475
Enrollment ID: I20220706002515

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› Verified 3 days ago

News Archive

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Pregnant women face higher risk of stroke

High blood pressure during pregnancy is a leading cause of maternal and fetal mortality worldwide.

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General Practice in Jackson, KY

St. John Neumann's Extended Hours Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1389 Highway 15 North, Jackson, KY 41339
Phone: 606-666-4011    Fax: 606-666-5801
Juniper Health Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 90 Lbj Rd, Jackson, KY 41339
Phone: 606-464-0151    Fax: 606-464-0152
Juniper Health Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2307 Bobcat Ln, Jackson, KY 41339
Phone: 606-464-0151    Fax: 606-464-0152
Clemente V. Zulueta, Jr., Md, Pllc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 95 Jackson Hts, Ste 201, Jackson, KY 41339
Phone: 606-693-1078    Fax: 606-693-1079
United Clinics Of Kentucky Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 95 Jackson Hts Ste A, Jackson, KY 41339
Phone: 606-718-6505    Fax: 606-272-6180
Saint Mark's Family And Specialty Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 95 Jackson Hts, Jackson, KY 41339
Phone: 606-693-0199    Fax: 606-693-0299
Juniper Health Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 244 L B J Rd, Jackson, KY 41339
Phone: 606-464-0151    Fax: 606-464-0152

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