Dr William Dotie Jackson, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Madison, Mississippi. He graduated from medical school in 2002 and has 24 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Mississippi Premier Plastic Surgery Pllc and his current practice location is
160 Fountains Blvd Ste B, Madison, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 981-2525.
Dr William Dotie Jackson is licensed to practice in Mississippi (license number 19747) 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 1194858688.
Physician's Profile
| Full Name | Dr William Dotie Jackson |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 24 Years |
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| Location | 160 Fountains Blvd Ste B, Madison, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr William Dotie Jackson graduated from medical school in 2002
NPI Data:
- NPI Number: 1194858688
- Provider Enumeration Date: 03/13/2007
- Last Update Date: 11/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 8123102290
- Enrollment ID: I20080227000802
Medical Identifiers
Medical identifiers for Dr William Dotie Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194858688 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 19747 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mississippi Premier Plastic Surgery Pllc | 6204997679 | 5 |
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 William Dotie Jackson allows following entities to bill medicare on his behalf.
| Entity Name | Mississippi Premier Plastic Surgery PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639320864
PECOS PAC ID: 6204997679
Enrollment ID: O20081203000564 |
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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 William Dotie 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 Address | Practice Location Address |
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Dr William Dotie Jackson, MD
160 Fountains Blvd Ste B,
Madison, MS 39110-6343
Ph: (601) 981-2525 | Dr William Dotie Jackson, MD
160 Fountains Blvd Ste B,
Madison, MS 39110-6343
Ph: (601) 981-2525 |
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