Dr Mark Jackson, MD is a
Preventive Medicine - Public Health & General Preventive Medicine physician based in Fort Yates, North Dakota. Dr Mark Jackson is licensed to practice in Maine (license number 012211) and his current practice location is 10 Standing Rock Agency Avenue, Fort Yates, North Dakota. He can be reached at his office (for appointments etc.) via phone at
(701) 854-3831.
NPI number for Dr Mark Jackson is 1528289881 and his current mailing address is 10 River Road, Fort Yates, North Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528289881.
Physician's Profile
| Full Name | Dr Mark Jackson |
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| Gender | Male |
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| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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| Location | 10 Standing Rock Agency Avenue, Fort Yates, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528289881
- Provider Enumeration Date: 05/02/2007
- Last Update Date: 06/27/2008
Medical Identifiers
Medical identifiers for Dr Mark Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528289881 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 012211 (Maine) | 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 Mark Jackson 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 Mark Jackson, MD
10 River Road,
Fort Yates, ND 58538-0179
Ph: (701) 854-3831 | Dr Mark Jackson, MD
10 Standing Rock Agency Avenue,
Fort Yates, ND 58538
Ph: (701) 854-3831 |
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