Scott Jackson, is a
Community Health Worker based in Ketchikan, Alaska. Scott Jackson is licensed to practice in * (Not Available) (license number ) and his current practice location is
2434 Fourth Ave, Ketchikan, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 225-7825.
NPI number for Scott Jackson is 1689270191 and his current mailing address is 721 Stedman St, Ketchikan, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689270191.
Healthcare Provider's Profile
| Full Name | Scott Jackson |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 2434 Fourth Ave, Ketchikan, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689270191
- Provider Enumeration Date: 12/09/2020
- Last Update Date: 02/09/2021
Medical Identifiers
Medical identifiers for Scott Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689270191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (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. Scott 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 |
|---|
Scott Jackson,
721 Stedman St,
Ketchikan, AK 99901-6632
Ph: (907) 225-7825 | Scott Jackson,
2434 Fourth Ave,
Ketchikan, AK 99901-5820
Ph: (907) 225-7825 |
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