| Dr Scott M Jackson, MD | |
|
4375 N Vantage Dr Ste 305, Fayetteville, AR 72703-4984 | |
| (479) 273-7006 | |
| Not Available |
| Full Name | Dr Scott M Jackson |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 18 Years |
| Location | 4375 N Vantage Dr Ste 305, Fayetteville, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336267509 | NPI | - | NPPES |
| 261960001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | E13748 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ozark Dermatology Clinic | 5799712147 | 16 |
| Entity Name | Ozark Dermatology Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134207483 PECOS PAC ID: 5799712147 Enrollment ID: O20050831000852 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott M Jackson, MD 4375 N Vantage Dr Ste 305, Fayetteville, AR 72703-4984 Ph: (479) 443-5100 | Dr Scott M Jackson, MD 4375 N Vantage Dr Ste 305, Fayetteville, AR 72703-4984 Ph: (479) 273-7006 |
Dr. Robert D Brown, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4375 N. Vantage Drive, Suite 305, Fayetteville, AR 72703 Phone: 479-443-5100 Fax: 479-443-5117 | |
Mark Franklin Naylor, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1444 E Stearns St Ste 11, Fayetteville, AR 72703 Phone: 479-718-7546 Fax: 479-966-4979 | |
Christopher P Schach, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4375 N. Vantage Dr., Suite 305, Fayetteville, AR 72703 Phone: 479-443-5100 Fax: 479-443-5117 | |
Dr. Jamie Langenhan Abbott, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4375 N Vantage Dr Ste 305, Fayetteville, AR 72703 Phone: 479-443-5100 Fax: 479-443-5117 | |
Dr. Lance B. Henry, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1444 E Stearns St, Suite 11, Fayetteville, AR 72703 Phone: 479-718-7546 Fax: 479-966-4979 | |
Eric J Stewart, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4375 N. Vantage Dr., Suite 305, Fayetteville, AR 72703 Phone: 479-443-5100 Fax: 479-443-5117 |