George Woody Jackson, MD is a medicare enrolled "Internal Medicine" physician in Highland, Arkansas. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
1440 Highway 62 412, Highland, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 856-6000.
George Woody Jackson is licensed to practice in Arkansas (license number N7190) 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 1497824304.
Physician's Profile
| Full Name | George Woody Jackson |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 41 Years |
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| Location | 1440 Highway 62 412, Highland, Arkansas |
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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:
- George Woody Jackson attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1983
NPI Data:
- NPI Number: 1497824304
- Provider Enumeration Date: 11/06/2006
- Last Update Date: 04/27/2009
Medicare PECOS Information:
- PECOS PAC ID: 8123003571
- Enrollment ID: I20040621001335
Medical Identifiers
Medical identifiers for George Woody Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497824304 | NPI | - | NPPES |
| 112923001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | N7190 (Arkansas) | Primary |
Medical Facilities Affiliation
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. George Woody Jackson allows following entities to bill medicare on his behalf.
| Entity Name | Dr George W Jackson Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598980229
PECOS PAC ID: 0143378208
Enrollment ID: O20090429000018 |
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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. George Woody 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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George Woody Jackson, MD
1440 Highway 62 412,
Highland, AR 72542-9497
Ph: (870) 856-6000 | George Woody Jackson, MD
1440 Highway 62 412,
Highland, AR 72542-9497
Ph: (870) 856-6000 |
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