Darryl Brett Jackson (NPI# 1811041197, PAC ID# 9537342381) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1811041197 |
| PAC ID by PECOS | 9537342381 |
| Professional Enrollment ID | I20110331000736 |
| Full Name | Darryl Brett Jackson |
| Organization Legal Name | GEPS PHYSICIAN GROUP OF PENNSYLVANIA PC |
| Address |
440 N River St Riverstreet Manor Wilkes Barre PA 18702-2631 |
| Phone Number | 5708255611 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1988 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8426953597 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390204 | NAZARETH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 440 N River St, Riverstreet Manor, Wilkes Barre, PA 18702-2631 | 5708255611 | GEPS PHYSICIAN GROUP OF PENNSYLVANIA PC |
| 440 N River St, Wilkes Barre, PA 18702-2631 | 5708255611 | GEPS PHYSICIAN GROUP OF PENNSYLVANIA PC |
| Organization Legal Name | GEPS PHYSICIAN GROUP OF PENNSYLVANIA PC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison Friede | Nurse Practitioner | Geps Physician Group of Pennsylvania PC | 225 Evergreen Rd, Pottstown, PA 19464-3143 |
| James Mcgee | Nurse Practitioner | Geps Physician Group of Pennsylvania PC | 100 Edella Rd, Abington Manor, Clarks Summit, PA 17901-3862 |
| Debbianne Dymek | Nurse Practitioner | Geps Physician Group of Pennsylvania PC | 800 W Miner St, West Chester, PA 19382-2149 |
| Christine K (wanich) Bradway | Nurse Practitioner | Geps Physician Group of Pennsylvania PC | 3485 Davisville Rd, Hatboro, PA 19040-4220 |
| Cynthia B Smoker-johnston | Family Practice | Geps Physician Group of Pennsylvania PC | 549 Baltimore Pike, Glen Mills, PA 19342-1020 |
| Timothy A Carlson | Nurse Practitioner | Geps Physician Group of Pennsylvania PC | 1718 Spring Creek Rd, Macungie, PA 18062-9784 |
| Sergio R Vaisman | Nephrology | Geps Physician Group of Pennsylvania PC | 227 Evergreen Rd, Sanatago Court, Pottstown, PA 19464-3143 |
| Mary Ellen Langford | Nurse Practitioner | Geps Physician Group of Pennsylvania PC | 1526 Lombard St, Philadelphia, PA 19146-1625 |
| Priscilla Nnajiofor Asonye | Nurse Practitioner | Geps Physician Group of Pennsylvania PC | 350 Haws Ln, Flourtown, PA 19031-2100 |
| Gary B Bernett | Internal Medicine | Geps Physician Group of Pennsylvania PC | 600 Paoli Pointe Dr, Paoli, PA 19301-2104 |
| Street Address |
440 N RIVER ST RIVERSTREET MANOR |
| City | WILKES BARRE |
| State | PA |
| Zip | 18702-2631 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Elizabeth J Sokach | Family Practice | Rural Health Corporation of Northeastern Pennsylvania | 1084 Route 315, Wilkes Barre, PA 18702-1606 |
| Raymond J Joseph | Internal Medicine | 165 Carey Ave, Wilkes Barre, PA 18702-2112 | |
| Sharon Miller | Physical Therapy | Northeast Physical Therapy, PC | 216 N River St, Suite 101, Wilkes Barre, PA 18702-2517 |
| Marianne Turosky | Physical Therapy | Northeast Physical Therapy, PC | 216 N River St, Suite 101, Wilkes Barre, PA 18702-2517 |
| Elizabeth A Gernhardt | Family Medicine | 300 Courtright St, Wilkes Barre, PA 18702-2526 | |
| Alexis H Felsman | Obstetrics/gynecology | Ob-gyn Associates, LLC | 545 N River St, Wilkes Barre, PA 18702-2600 |
| Jaromir Kohout | General Surgery | Commonwealth Physician Network LLC | 545 N River St, Suite 130, Wilkes Barre, PA 18702-2600 |
| Maria C Escano | General Surgery | Commonwealth Physician Network LLC | 545 N River St, Suite 130, Wilkes Barre, PA 18702-2600 |
| Lori Delgaudio | Obstetrics/gynecology | Ob-gyn Associates, LLC | 545 N River St, Wilkes Barre, PA 18702-2600 |
| Akram Zalatimo | Obstetrics/gynecology | 545 N River St, Suite 110, Wilkes Barre, PA 18702-2600 | |
| Find all physicians in zip 18702 | |||
| City | WILKES BARRE |
| Zip Code | 18702 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WILKES BARRE + INTERNAL MEDICINE |
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| 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.