Sammie Jackson, is a
Contractor based in Rochester Hills, Michigan. Sammie Jackson is licensed to practice in Michigan (license number ) and his current practice location is
1515 Ashton Dr, Rochester Hills, Michigan. He can be reached at his office (for appointments etc.) via phone at
(248) 710-4830.
NPI number for Sammie Jackson is 1568144285 and his current mailing address is 1515 Ashton Dr, Rochester Hills, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568144285.
Provider's Profile
| Full Name | Sammie Jackson |
|---|
| Gender | Male |
|---|
| Speciality | Contractor |
|---|
| Location | 1515 Ashton Dr, Rochester Hills, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568144285
- Provider Enumeration Date: 08/02/2023
- Last Update Date: 02/26/2026
Medical Identifiers
Medical identifiers for Sammie Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1568144285 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 4704427575 (Michigan) | Secondary |
| 171W00000X | Contractor | (Michigan) | 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. Sammie 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 |
Sammie Jackson, 1515 Ashton Dr, Rochester Hills, MI 48309-2251 Ph: (248) 710-4830 | Sammie Jackson, 1515 Ashton Dr, Rochester Hills, MI 48309-2251 Ph: (248) 710-4830 |
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