Dr Jackie R Woods, DDS is a
Dentist - General Practice based in Tylertown, Mississippi. Dr Jackie R Woods is licensed to practice in Mississippi (license number 2487-94) and her current practice location is
310 Beulah Ave, Tylertown, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(610) 876-0860.
NPI number for Dr Jackie R Woods is 1831249929 and her current mailing address is 310 Beulah Ave, Tylertown, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831249929.
Healthcare Provider's Profile
| Full Name | Dr Jackie R Woods |
|---|
| Gender | Female |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 310 Beulah Ave, Tylertown, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831249929
- Provider Enumeration Date: 01/11/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jackie R Woods such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831249929 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | 2487-94 (Mississippi) | Primary |
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 Jackie R Woods is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Jackie R Woods, DDS 310 Beulah Ave, Tylertown, MS 39667-2702 Ph: (610) 876-0860 | Dr Jackie R Woods, DDS 310 Beulah Ave, Tylertown, MS 39667-2702 Ph: (610) 876-0860 |
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