J Ryan Jackson, DO in Mesa, AZ - Medicare Micrographic Dermatologic Surgery (mds)

J Ryan Jackson, DO is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Mesa, Arizona. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2015 and has 11 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). He is a member of the group practice La Paz Dermatology Pllc, Az Dermatology Llc, Dl Professional Services Llc and his current practice location is 8405 E Baseline Rd Ste 104, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 674-3295.

J Ryan Jackson is licensed to practice in Arizona (license number 007930) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1346633161.

Contact Information

	J Ryan Jackson, DO
	8405 E Baseline Rd Ste 104, Mesa, AZ 85209-4376
	(480) 674-3295
	Not Available

Map and Direction

Physician's Profile

Full Name	J Ryan Jackson
Gender	Male
Speciality	Micrographic Dermatologic Surgery (mds)
Experience	11 Years
Location	8405 E Baseline Rd Ste 104, Mesa, Arizona
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

J Ryan Jackson attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2015

NPI Data:

NPI Number: 1346633161
Provider Enumeration Date: 03/18/2015
Last Update Date: 09/05/2024

Medicare PECOS Information:

PECOS PAC ID: 2961731799
Enrollment ID: I20190904001919

Medical Identifiers

Medical identifiers for J Ryan Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346633161	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0101X	Dermatology - Mohs-micrographic Surgery	007930 (Arizona)	Primary
207N00000X	Dermatology	007930 (Arizona)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
La Paz Dermatology Pllc	3274066584	2
Az Dermatology Llc	5698850543	14
Dl Professional Services Llc	9739597402	4

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. J Ryan Jackson allows following entities to bill medicare on his behalf.

Entity Name	Az Dermatology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508035411 PECOS PAC ID: 5698850543 Enrollment ID: O20080317000520

Entity Name	La Laser Center Pc A Professional Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306982855 PECOS PAC ID: 9537181185 Enrollment ID: O20160111002432

Entity Name	Dl Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205422789 PECOS PAC ID: 9739597402 Enrollment ID: O20210416002156

Entity Name	La Paz Dermatology Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013734094 PECOS PAC ID: 3274066584 Enrollment ID: O20241024004067

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. J Ryan 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
J Ryan Jackson, DO 8405 E Baseline Rd Ste 104, Mesa, AZ 85209-4376 Ph: (480) 674-3295	J Ryan Jackson, DO 8405 E Baseline Rd Ste 104, Mesa, AZ 85209-4376 Ph: (480) 674-3295

Reviews and Comments

Dermatology Doctors in Mesa, AZ

Jenna Wald, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4540 E Baseline Rd Ste 109, Mesa, AZ 85206 Phone: 480-982-3337 Fax: 480-497-4580
Dr. Daniel Peterson Skinner Jr., MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2050 W Southern Ave Ste 102, Mesa, AZ 85202 Phone: 480-835-5532 Fax: 480-962-0106
Dr. Ronald M Glick, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3940 E University Dr, Mesa, AZ 85205 Phone: 480-924-9235 Fax: 480-832-5501
Paul Robert Love, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1520 S Dobson Rd, Suite 320, Mesa, AZ 85202 Phone: 480-844-0866
Dr. Robert Albin Modic, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1450 S Dobson Rd, Suite 223, Mesa, AZ 85202 Phone: 480-969-3551 Fax: 480-644-0692
Stephen Emerson Kessler, DO Dermatology Medicare: Medicare Enrolled Practice Location: 130 S 63rd St, Bldg 3 Suite 114, Mesa, AZ 85206 Phone: 480-981-2888 Fax: 480-654-0599
Millard Phillip Thaler, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2150 S Dobson Road, Ste #1, Mesa, AZ 85202 Phone: 480-820-2974 Fax: 480-897-0820

J Ryan Jackson, DO - Medicare Micrographic Dermatologic Surgery (mds) in Mesa, AZ