J Ryan Jackson, DO is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Queen Creek, Arizona. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2015 and has 9 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Center For Dermatology Pllc, English Dermatology Pc and his current practice location is
37200 N Gantzel Rd Ste 340, Queen Creek, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 470-8303.
J Ryan Jackson is licensed to practice in Arizona (license number 007930) 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 1346633161.
Physician's Profile
| Full Name | J Ryan Jackson |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 9 Years |
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| Location | 37200 N Gantzel Rd Ste 340, Queen Creek, Arizona |
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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:
- 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: 04/12/2024
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 |
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| 1346633161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 007930 (Arizona) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 007930 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Center For Dermatology Pllc | 1557355385 | 63 |
| English Dermatology Pc | 4385867761 | 17 |
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 | Center For Dermatology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194792416
PECOS PAC ID: 1557355385
Enrollment ID: O20040413001574 |
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| Entity Name | English Dermatology Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245659432
PECOS PAC ID: 4385867761
Enrollment ID: O20140604000450 |
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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. 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 |
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J Ryan Jackson, DO
Po Box 650886,
Dallas, TX 75265-0886
Ph: (480) 222-0269 | J Ryan Jackson, DO
37200 N Gantzel Rd Ste 340,
Queen Creek, AZ 85140-7390
Ph: (480) 470-8303 |
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