Haley W Jackson, MD in Provo, UT - Medicare Family Practice

Haley W Jackson, MD is a medicare enrolled "Family Medicine" physician in Provo, Utah. She went to University Of Utah School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Shelly Savage M D Llc and her current practice location is 1900 N State St, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 373-2001.

Haley W Jackson is licensed to practice in Utah (license number 11336450-1205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396248159.

Contact Information

	Haley W Jackson, MD
	1900 N State St, Provo, UT 84604-1341
	(801) 373-2001
	Not Available

Map and Direction

Physician's Profile

Full Name	Haley W Jackson
Gender	Female
Speciality	Family Practice
Experience	6 Years
Location	1900 N State St, Provo, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Haley W Jackson attended and graduated from University Of Utah School Of Medicine in 2018

NPI Data:

NPI Number: 1396248159
Provider Enumeration Date: 03/16/2018
Last Update Date: 07/15/2021

Medicare PECOS Information:

PECOS PAC ID: 7012249444
Enrollment ID: I20191104002377

Medical Identifiers

Medical identifiers for Haley W Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396248159	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	11336450-1205 (Utah)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Utah Valley Hospital	Provo, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shelly Savage M D Llc	7315917697	9

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Haley W Jackson allows following entities to bill medicare on her behalf.

Entity Name	Shelly Savage M D Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669652343 PECOS PAC ID: 7315917697 Enrollment ID: O20040727000178

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Haley W Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Haley W Jackson, MD 273 N 1325 W, Springville, UT 84663-3283 Ph: (385) 450-4572	Haley W Jackson, MD 1900 N State St, Provo, UT 84604-1341 Ph: (801) 373-2001

Reviews and Comments

Family Medicine Doctors in Provo, UT

Dr. Robert Joel Bush, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 750 N Freedom Blvd Ste 300, Provo, UT 84601 Phone: 801-852-1443
Janee Namealoha Sells, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3200 N Canyon Rd Ste C, Provo, UT 84604 Phone: 385-375-8724
Dr. Marlin L Christianson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 West 940 North, Provo, UT 84604 Phone: 801-357-7930 Fax: 801-357-7014
Tyson Schwab, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 395 W Bulldog Blvd Ste 205, Provo, UT 84604 Phone: 801-357-1770
Mr. Gregory Lawrence Nielsen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1750 N Wymount Terrace Dr, Provo, UT 84604 Phone: 801-422-2771 Fax: 801-422-0761
Mr. Tyler Jason Fieldsted, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 W 940 N, Provo, UT 84604 Phone: 801-357-7926 Fax: 801-357-7927
Dr. Matthew Craig Evans, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1157 N 300 W, #201, Provo, UT 84604 Phone: 801-581-2000

Haley W Jackson, MD - Medicare Family Practice in Provo, UT