William Clay Jackson, MD is a medicare enrolled "Family Medicine - Hospice And Palliative Medicine" physician in Atoka, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1998 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Primary Care Group, Llc, The West Clinic P.c., The West Clinic P.c. and his current practice location is
76 Capital Way Ste C, Atoka, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(901) 840-1202.
William Clay Jackson is licensed to practice in Tennessee (license number 31696) 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 1407858368.
Physician's Profile
| Full Name | William Clay Jackson |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 28 Years |
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| Location | 76 Capital Way Ste C, Atoka, Tennessee |
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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:
- William Clay Jackson attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1998
NPI Data:
- NPI Number: 1407858368
- Provider Enumeration Date: 08/11/2005
- Last Update Date: 04/17/2026
Medicare PECOS Information:
- PECOS PAC ID: 7315851086
- Enrollment ID: I20031117000708
Medical Identifiers
Medical identifiers for William Clay Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407858368 | NPI | - | NPPES |
| 01751779 | Medicaid | MS | |
| 1508274 | Medicaid | TN | |
| 155538001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 31696 (Tennessee) | Secondary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | 31696 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Primary Care Group, Llc | 0941480131 | 109 |
| The West Clinic P.c. | 2668360579 | 114 |
| The West Clinic P.c. | 2668360579 | 114 |
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. William Clay Jackson allows following entities to bill medicare on his behalf.
| Entity Name | The West Clinic, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447276605
PECOS PAC ID: 2668360579
Enrollment ID: O20040315000610 |
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| Entity Name | Primary Care Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093016651
PECOS PAC ID: 0941480131
Enrollment ID: O20110204000483 |
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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. William Clay 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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William Clay Jackson, MD
1211 Union Ave Ste 330,
Memphis, TN 38104-6655
Ph: () - | William Clay Jackson, MD
76 Capital Way Ste C,
Atoka, TN 38004-6866
Ph: (901) 840-1202 |
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