Charles Jackson, DPM is a
Podiatrist based in Hobbs, New Mexico. Charles Jackson is licensed to practice in New Mexico (license number 239) and his current practice location is
820 N Dalmont St, Hobbs, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 393-9137.
NPI number for Charles Jackson is 1760535926 and his current mailing address is 820 N Dalmont St, Hobbs, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760535926.
Healthcare Provider's Profile
| Full Name | Charles Jackson |
|---|
| Gender | Male |
|---|
| Speciality | Podiatrist |
|---|
| Location | 820 N Dalmont St, Hobbs, New Mexico |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760535926
- Provider Enumeration Date: 01/19/2007
- Last Update Date: 03/06/2012
Medical Identifiers
Medical identifiers for Charles Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760535926 | NPI | - | NPPES |
| 67753 | Medicaid | NM | |
| NM005310 | Other | NM | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 213E00000X | Podiatrist | 239 (New Mexico) | Primary |
| 213E00000X | Podiatrist | 1640 (Texas) | Secondary |
| 213E00000X | Podiatrist | 80171 (Mississippi) | 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. Charles 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 |
Charles Jackson, DPM 820 N Dalmont St, Hobbs, NM 88240-5214 Ph: (505) 393-9137 | Charles Jackson, DPM 820 N Dalmont St, Hobbs, NM 88240-5214 Ph: (505) 393-9137 |
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