Richard J Jackson, MD in Temple, TX

Richard J Jackson, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Temple, Texas. His current practice location is 1901 Sw H K Dodgen Loop, Temple, Texas. You can reach out to his office (for appointments etc.) via phone at (254) 935-4000.

Richard J Jackson is licensed to practice in Texas (license number N3094) 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 1215027883.

Contact Information

	Richard J Jackson, MD
	1901 Sw H K Dodgen Loop, Temple, TX 76502-3500
	(254) 935-4000
	(254) 935-4111

Map and Direction

Physician's Profile

Full Name	Richard J Jackson
Gender	Male
Speciality	Surgery - Pediatric Surgery
Location	1901 Sw H K Dodgen Loop, Temple, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215027883
Provider Enumeration Date: 10/13/2006
Last Update Date: 06/08/2021

Medicare PECOS Information:

PECOS PAC ID: 0446222582
Enrollment ID: I20040810000640

Medical Identifiers

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

Identifier	Type	State	Issuer
1215027883	NPI	-	NPPES
125912907	Medicaid	TX
137345810	Medicaid	TX
140442852	Medicaid	TX
121627001	Medicaid	AR
125912908	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0120X	Surgery - Pediatric Surgery	N-8271 (Arkansas)	Secondary
2086S0120X	Surgery - Pediatric Surgery	N3094 (Texas)	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. Richard J Jackson allows following entities to bill medicare on his behalf.

Entity Name	University Of Arkansas For Medical Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431

Entity Name	Arkansas Childrens Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598773079 PECOS PAC ID: 2769477744 Enrollment ID: O20040419000796

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. Richard J 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
Richard J Jackson, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111	Richard J Jackson, MD 1901 Sw H K Dodgen Loop, Temple, TX 76502-3500 Ph: (254) 935-4000

Reviews and Comments

Surgery Doctors in Temple, TX

Dr. John W Fitzwater, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502 Phone: 813-554-8384
Grace Ng, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111
Dr. John C. Hendricks, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111
Dr. William Todd Bohannon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111
Robert Scott Smith, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 Fax: 254-724-7603
Dr. Jacqueline Ann Lappin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111
Dr. Luke J Hofmann, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111

Richard J Jackson, MD - Medicare Surgery in Temple, TX