Dr Jackson Petty, DDS - Dentist in Alamosa, CO

Dr Jackson Petty, DDS is a Dentist - General Practice based in Alamosa, Colorado. Dr Jackson Petty is licensed to practice in Colorado (license number 204657) and his current practice location is 128 Market St, Alamosa, Colorado. He can be reached at his office (for appointments etc.) via phone at (719) 587-1001.

NPI number for Dr Jackson Petty is 1417565193 and his current mailing address is 128 Market St, Alamosa, Colorado. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417565193.

Contact Information

Dr Jackson Petty, DDS
128 Market St,
Alamosa, CO 81101-2290
(719) 587-1001
(719) 589-5722

Map and Direction




Healthcare Provider's Profile

Full NameDr Jackson Petty
GenderMale
SpecialityDentist - General Practice
Location128 Market St, Alamosa, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417565193
  • Provider Enumeration Date: 07/17/2020
  • Last Update Date: 07/19/2021

Medical Identifiers

Medical identifiers for Dr Jackson Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417565193NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 11423 (Tennessee)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
1223G0001XDentist - General Practice 204657 (Colorado)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 Jackson Petty 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 AddressPractice Location Address
Dr Jackson Petty, DDS
128 Market St,
Alamosa, CO 81101-2290

Ph: (719) 587-1001
Dr Jackson Petty, DDS
128 Market St,
Alamosa, CO 81101-2290

Ph: (719) 587-1001

Reviews and Comments


Dentist in Alamosa, CO

Dr. Stephen J. Schiffer, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 128 Market St, Alamosa, CO 81101
Phone: 719-587-1001    
Dr. Carl Thomas Warrington, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 100 Edison Ave, Alamosa, CO 81101
Phone: 719-589-4953    Fax: 719-587-9946
Dr. Darrell G. Jackson, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2405 Mullins Ave, Alamosa, CO 81101
Phone: 719-589-5272    Fax: 719-589-5300
Phillip James Haram, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 128 Market Street, Alamosa, CO 81101
Phone: 719-589-9691    Fax: 719-587-9148
Rocky E Horton, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1322 Main St, Alamosa, CO 81101
Phone: 719-992-2016    Fax: 719-992-2028
Dr. Aimee Louise Martinez, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 128 Market St, Alamosa, CO 81101
Phone: 719-589-9691    
Dr. Frank Arthur Welch, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 206 Crestone Ave, Alamosa, CO 81101
Phone: 719-489-2067    Fax: 719-489-2068

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.