James Jeffrey Jackson, is a
Student In An Organized Health Care Education/training Program based in San Francisco, California. James Jeffrey Jackson is licensed to practice in Michigan (license number J 250 367 390 278) and his current practice location is
887 Potrero Ave, San Francisco, California. He can be reached at his office (for appointments etc.) via phone at
(415) 206-3311.
NPI number for James Jeffrey Jackson is 1851427074 and his current mailing address is 910 Page St, San Francisco, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851427074.
Healthcare Provider's Profile
| Full Name | James Jeffrey Jackson |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 887 Potrero Ave, San Francisco, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1851427074
- Provider Enumeration Date: 02/23/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for James Jeffrey Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851427074 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | J 250 367 390 278 (Michigan) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | J 250 367 390 278 (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. James Jeffrey 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 |
|---|
James Jeffrey Jackson,
910 Page St,
San Francisco, CA 94117-2319
Ph: () - | James Jeffrey Jackson,
887 Potrero Ave,
San Francisco, CA 94110-2869
Ph: (415) 206-3311 |
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