Dr. Edgar Basil Jackson is a Milwaukee, Wisconsin based psychiatrist with 67 years of experience in Addiction Medicine. He completed his graduation in 1957. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Edgar Basil Jackson is 13939-20 for Psychiatry in Wisconsin. His current practice location is 1225 W Mitchell St, 223, Milwaukee. Patients can reach him at 414-383-4455 or can fax him at 414-727-8730. Dr. Edgar Basil Jackson is MD in Addiction Medicine and his NPI number (Unique professional ID assigned by NPPES) is 1598833410. Dr. Edgar Basil Jackson focuses on the evaluation, diagnosis, and treatment of people who have one or more disorders related to addictions like illegal drugs, alcohol, and prescription medication and other substances.
Complete Profile:
Dr. Edgar Basil Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Edgar Basil Jackson
Specialization:
Addiction Medicine
Gender:
Male
Credentials:
MD
Experience:
67+ years
Medical School Attended:
Other
Graduation Year:
1957
Accepts Medicare Assignment:
Yes
Practice Address:
1225 W Mitchell St, 223, Milwaukee, Wisconsin, 53204-3383
Phone:
414-383-4455
Fax:
414-727-8730
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6103879697
Enrollment ID:
I20050224000385
NPI Number:
1598833410
NPI Enumeration Date:
30 Nov, 2006
NPI Last Update On:
03 Jul, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Edgar Basil Jackson are as mentioned below.
License Number
Specialization
State
Status
13939-20
Psychiatry
Wisconsin
Primary
AJ8930984 XJ8930984
Addiction Medicine
Wisconsin
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Edgar Basil Jackson is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Milwaukee Health Services, Inc. (7416946884)
26
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Edgar Basil Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1598833410
Other
Wisconsin
NPI
30954700
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Edgar Basil Jackson 1225 W Mitchell St, 223 Milwaukee, Wisconsin
Zip:
53204-3383
Phone Number:
414-383-4455
Fax Number:
414-727-8730
Patients can reach Dr. Edgar Basil Jackson at 1225 W Mitchell St, 223, Milwaukee, Wisconsin or can call to book an appointment on 414-383-4455.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.