Bernice D Jackson (NPI# 1639195407, PAC ID# 8224112602) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1639195407 |
| PAC ID by PECOS | 8224112602 |
| Professional Enrollment ID | I20080223000091 |
| Full Name | Bernice D Jackson |
| Address |
1160 Varnum Nest Suite 314 Washington DC 20017-2110 |
| Gender | F |
| Medical School | HARVARD MEDICAL SCHOOL |
| Graduation Year | 1983 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 090011 | MEDSTAR WASHINGTON HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1160 Varnum Nest, Suite 314, Washington, DC 20017-2110 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
1160 VARNUM NEST SUITE 314 |
| City | WASHINGTON |
| State | DC |
| Zip | 20017-2110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aisha M Ellis | Nurse Practitioner | Washington Hospital Center Corp | 216 Michigan Ave Ne, Washington, DC 20017-1095 |
| Stuart Lawrence Horwitz | Gastroenterology | 4200 Harewood Nerd, Washington, DC 20017-1511 | |
| Reginald Barnes | Ophthalmology | 4200 Harewood Rd Ne, Washington, DC 20017-1511 | |
| Herman Q Green | Physical Therapy | Lifestyle Rehab and Wellness LLC | 4200 Harewood Rd Ne, Little Sisters of The Poor, Washington, DC 20017-1511 |
| William Peterson | Neurology | 1140 Varnum St Ne, Suite 101, Washington, DC 20017-2100 | |
| Rosetta T Hendricks | Nurse Practitioner | 1140 Varnum St Ne, Suite 106 Pmb, Washington, DC 20017-2100 | |
| Mowaffak Alhamad | Thoracic Surgery | 1160 Varnum St N E, Suite 318, Washington, DC 20017-2103 | |
| Jessica N Stillman | Psychologist, Clinical | The Neurology Center | 1160 Varnum St Ne, Suite 204, Washington, DC 20017-2103 |
| Dal Yoo | Medical Oncology | 1160 Varnum St Ne, Suite 318, Washington, DC 20017-2103 | |
| Jesse Gabriel Brand | Psychologist, Clinical | The Neurology Center | 1160 Varnum St Ne, Suite 204, Washington, DC 20017-2103 |
| Find all physicians in zip 20017 | |||
| City | WASHINGTON |
| Zip Code | 20017 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | WASHINGTON + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Bernice D 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.