Leon S Jackson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Winnemucca, Nevada. His current practice location is
118 E Haskell St, Winnemucca, Nevada. You can reach out to his office (for appointments etc.) via phone at
(608) 788-8103.
Leon S Jackson is licensed to practice in Nevada (license number 11348) 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 1285622175.
Physician's Profile
| Full Name | Leon S Jackson |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 118 E Haskell St, Winnemucca, Nevada |
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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:
- Leon S Jackson attended and graduated from in
NPI Data:
- NPI Number: 1285622175
- Provider Enumeration Date: 10/13/2005
- Last Update Date: 07/24/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Leon S Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285622175 | NPI | - | NPPES |
| 100505784 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 11348 (Nevada) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | G68430 (California) | Secondary |
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. Leon S 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 |
|---|
Leon S Jackson, MD
2031 32nd St S,
La Crosse, WI 54601-7099
Ph: (608) 788-8103 | Leon S Jackson, MD
118 E Haskell St,
Winnemucca, NV 89445-3247
Ph: (608) 788-8103 |
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