Dr Dennis W Jackson, DDS in Edgewood, NM - Medicare Dentist Provider

Dr Dennis W Jackson, DDS is a medicare enrolled "Dentist" provider in Edgewood, New Mexico. His current practice location is 164 Square H Rd, Edgewood, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 610-7885.

Dr Dennis W Jackson is licensed to practice in New Mexico (license number DD2699) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881999761.

Contact Information

	Dr Dennis W Jackson, DDS
	164 Square H Rd, Edgewood, NM 87015-9538
	(505) 610-7885
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Dennis W Jackson
Gender	Male
Speciality	Dentist
Location	164 Square H Rd, Edgewood, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881999761
Provider Enumeration Date: 01/24/2011
Last Update Date: 01/24/2011

Medicare PECOS Information:

PECOS PAC ID: 6305247602
Enrollment ID: I20210624000400

Medical Identifiers

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

Identifier	Type	State	Issuer
1881999761	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DD2699 (New Mexico)	Primary

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. Dr Dennis W Jackson allows following entities to bill medicare on his behalf.

Entity Name	Kewa Pueblo Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467739888 PECOS PAC ID: 7618137779 Enrollment ID: O20120327000617

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. Dr Dennis 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
Dr Dennis W Jackson, DDS 164 Square H Rd, Edgewood, NM 87015-9538 Ph: (505) 610-7885	Dr Dennis W Jackson, DDS 164 Square H Rd, Edgewood, NM 87015-9538 Ph: (505) 610-7885

Reviews and Comments

Dentist in Edgewood, NM

Louis R Bush, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8 Medical Center Rd, Edgewood, NM 87015 Phone: 505-873-7405 Fax: 505-873-7444
Dr. Craig Testerman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7 Municipal Way, Edgewood, NM 87015 Phone: 505-281-3406 Fax: 505-224-8737
Dr. Shamaine Spencer, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 8 Medical Center Rd, Edgewood, NM 87015 Phone: 505-224-8718 Fax: 505-224-8737
Dr. Stephen L Harrington, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1851 Old Hwy 66, Suite C, Edgewood, NM 87015 Phone: 505-281-0373
Dr. Suzanne Mcginty, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1917 Old Hwy 66, St. A, Edgewood, NM 87015 Phone: 505-281-0373
Melissa D Jackson, DMD Dentist Medicare: Medicare Enrolled Practice Location: Edgewood Dental, 7 Municipal Way, Edgewood, NM 87015 Phone: 505-281-3406

Dr Dennis W Jackson, DDS - Medicare Dentist in Edgewood, NM