Dr Penny Tronell Jackson, DC is a
Chiropractor based in Willacoochee, Georgia. Dr Penny Tronell Jackson is licensed to practice in Georgia (license number CHIR008305) and her current practice location is
1161 Highway 135 S, Suite 1, Willacoochee, Georgia. She can be reached at her office (for appointments etc.) via phone at
(912) 381-0064.
NPI number for Dr Penny Tronell Jackson is 1194997270 and her current mailing address is Po Box 1100, Willacoochee, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194997270.
Healthcare Provider's Profile
| Full Name | Dr Penny Tronell Jackson |
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| Gender | Female |
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| Speciality | Chiropractor |
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| Location | 1161 Highway 135 S, Willacoochee, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194997270
- Provider Enumeration Date: 03/28/2008
- Last Update Date: 04/22/2008
Medical Identifiers
Medical identifiers for Dr Penny Tronell Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194997270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | CHIR008305 (Georgia) | 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. Dr Penny Tronell 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 |
|---|
Dr Penny Tronell Jackson, DC
Po Box 1100,
Willacoochee, GA 31650-1100
Ph: (912) 381-0064 | Dr Penny Tronell Jackson, DC
1161 Highway 135 S, Suite 1,
Willacoochee, GA 31650-7747
Ph: (912) 381-0064 |
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