Jackson Walter Deere, MD in North Logan, UT

Jackson Walter Deere, MD is a medicare enrolled "Otolaryngology" physician in North Logan, Utah. His current practice location is 2245 N 400 E Ste 301, North Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 753-7880.

Jackson Walter Deere is licensed to practice in Utah (license number 13768482-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497311369.

Contact Information

	Jackson Walter Deere, MD
	2245 N 400 E Ste 301, North Logan, UT 84341-1892
	(435) 753-7880
	(435) 753-5845

Map and Direction

Physician's Profile

Full Name	Jackson Walter Deere
Gender	Male
Speciality	Otolaryngology
Location	2245 N 400 E Ste 301, North Logan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497311369
Provider Enumeration Date: 05/15/2019
Last Update Date: 08/09/2024

Medicare PECOS Information:

PECOS PAC ID: 5294060109
Enrollment ID: I20240710002762

Medical Identifiers

Medical identifiers for Jackson Walter Deere such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497311369	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	13768482-1205 (Utah)	Primary

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. Jackson Walter Deere allows following entities to bill medicare on his behalf.

Entity Name	Cache Valley Ear Nose & Throat, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548303795 PECOS PAC ID: 5193128882 Enrollment ID: O20220216002175

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. Jackson Walter Deere 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
Jackson Walter Deere, MD 2245 N 400 E Ste 301, North Logan, UT 84341-1892 Ph: (435) 753-7880	Jackson Walter Deere, MD 2245 N 400 E Ste 301, North Logan, UT 84341-1892 Ph: (435) 753-7880

Reviews and Comments

Otolaryngology Doctors in North Logan, UT

Zachary Robinett, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2245 N 400 E, Ste 301, North Logan, UT 84341 Phone: 435-753-7880 Fax: 435-753-5845
Dr. Jeffrey Green Bennion, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2245 N 400 E, Ste 301, North Logan, UT 84341 Phone: 435-753-7880 Fax: 435-753-5845
Dr. James Wallentine Blotter, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2245 N 400 E, Ste 301, North Logan, UT 84341 Phone: 435-753-7880 Fax: 435-753-5845

Jackson Walter Deere, MD - Medicare Otolaryngology in North Logan, UT