Dr Nathanial Damon Jackson, DDS - Medicare Dentist in Tucson, AZ

Dr Nathanial Damon Jackson, DDS is a medicare enrolled "Dentist" provider in Tucson, Arizona. His current practice location is 839 W Congress St, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 792-9890.

Dr Nathanial Damon Jackson is licensed to practice in District Of Columbia (license number DEN1000767) 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 1134371966.

Contact Information

Dr Nathanial Damon Jackson, DDS
839 W Congress St,
Tucson, AZ 85745-2819
(520) 792-9890
(520) 884-9287

Map and Direction




Healthcare Provider's Profile

Full NameDr Nathanial Damon Jackson
GenderMale
SpecialityDentist
Location839 W Congress St, Tucson, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134371966
  • Provider Enumeration Date: 10/10/2008
  • Last Update Date: 04/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0941324859
  • Enrollment ID: I20100830000658

Medical Identifiers

Medical identifiers for Dr Nathanial Damon Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134371966NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 054051 (New York)Secondary
122300000XDentist DEN1000767 (District Of Columbia)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 Nathanial Damon Jackson allows following entities to bill medicare on his behalf.
Entity NameCommunity Clinic, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790730281
PECOS PAC ID: 6204722614
Enrollment ID: O20040224000222

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 Nathanial Damon 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 AddressPractice Location Address
Dr Nathanial Damon Jackson, DDS
839 W Congress St,
Tucson, AZ 85745-2819

Ph: (520) 792-9890
Dr Nathanial Damon Jackson, DDS
839 W Congress St,
Tucson, AZ 85745-2819

Ph: (520) 792-9890

Reviews and Comments


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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.