Dr Richard Taylor Jackson Ii, MD in Provo, UT - Medicare Diagnostic Radiology

Dr Richard Taylor Jackson Ii, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Provo, Utah. He went to University Of Louisville School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Central Utah Clinic Pc and his current practice location is 1055 N 500 W, Suite 112, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 812-4624.

Dr Richard Taylor Jackson Ii is licensed to practice in Utah (license number 7960088-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922248202.

Contact Information

	Dr Richard Taylor Jackson Ii, MD
	1055 N 500 W, Suite 112, Provo, UT 84604-3305
	(801) 812-4624
	(801) 812-4699

Map and Direction

Physician's Profile

Full Name	Dr Richard Taylor Jackson Ii
Gender	Male
Speciality	Diagnostic Radiology
Experience	19 Years
Location	1055 N 500 W, Provo, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Richard Taylor Jackson Ii attended and graduated from University Of Louisville School Of Medicine in 2005

NPI Data:

NPI Number: 1922248202
Provider Enumeration Date: 02/26/2009
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 2860670171
Enrollment ID: I20110708000316

Medical Identifiers

Medical identifiers for Dr Richard Taylor Jackson Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922248202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	R1094 (Kentucky)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	7960088-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jordan Valley Medical Center	West jordan, UT	Hospital
Timpanogos Regional Hospital	Orem, UT	Hospital
Mountain View Hospital	Payson, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Utah Clinic Pc	7517868508	391

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 Richard Taylor Jackson Ii allows following entities to bill medicare on his behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

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 Richard Taylor Jackson Ii 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 Richard Taylor Jackson Ii, MD 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225	Dr Richard Taylor Jackson Ii, MD 1055 N 500 W, Suite 112, Provo, UT 84604-3305 Ph: (801) 812-4624

Reviews and Comments

Radiology Doctors in Provo, UT

Dr. Daniel Lyman Corey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-225-6246 Fax: 801-225-1525
Samuel Lynn Southam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 Fax: 801-357-7626
Scott D Valadez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699
Mark S Asay, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850
Dr. Derek Scott Bergeson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Attn Credentialing, Provo, UT 84604 Phone: 801-354-8225 Fax: 801-418-0941
Dalton H Wright, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699
John S Collins, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850

Dr Richard Taylor Jackson Ii, MD - Medicare Diagnostic Radiology in Provo, UT