Joseph A Jackson, MD is a
Family Medicine physician based in Mt Airy, North Carolina. Joseph A Jackson is licensed to practice in North Carolina (license number 18000) and his current practice location is 865 W Lake Dr, Mt Airy, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(336) 719-6100.
NPI number for Joseph A Jackson is 1962474676 and his current mailing address is 2000 Frontis Plaza Blvd Ste 200, Attn Forsyth Medical Group, Winston Salem, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962474676.
Physician's Profile
| Full Name | Joseph A Jackson |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 865 W Lake Dr, Mt Airy, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962474676
- Provider Enumeration Date: 02/06/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Joseph A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962474676 | NPI | - | NPPES |
| 8945516 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 18000 (North Carolina) | Primary |
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. Joseph A Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Joseph A Jackson, MD
2000 Frontis Plaza Blvd Ste 200, Attn Forsyth Medical Group,
Winston Salem, NC 27103-5616
Ph: (336) 277-2436 | Joseph A Jackson, MD
865 W Lake Dr,
Mt Airy, NC 27030-2157
Ph: (336) 719-6100 |
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