All Medicaid billing entities listing JACKSON, LELAND (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New York | 1 | $62K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | FAIRMOUNT FAMILY MEDICINE PLLC | CAMILLUS, NY | Family Medicine Physician | $62K |