Jon R Jackson, is a
Case Manager/care Coordinator based in Roseburg, Oregon. Jon R Jackson is licensed to practice in * (Not Available) (license number ) and his current practice location is
337 Fowler St, Roseburg, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 440-3532.
NPI number for Jon R Jackson is 1285886051 and his current mailing address is 272 Medical Loop, Suite E, Roseburg, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285886051.
Healthcare Provider's Profile
| Full Name | Jon R Jackson |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 337 Fowler St, Roseburg, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1285886051
- Provider Enumeration Date: 10/10/2008
- Last Update Date: 08/10/2015
Medical Identifiers
Medical identifiers for Jon R Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285886051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Jon R 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 |
|---|
Jon R Jackson,
272 Medical Loop, Suite E,
Roseburg, OR 97471
Ph: (541) 440-3532 | Jon R Jackson,
337 Fowler St,
Roseburg, OR 97470
Ph: (541) 440-3532 |
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