Clayton Scott Jackson, DMD, MSD - Medicare Dentist in Louisville, KY

Clayton Scott Jackson, DMD, MSD is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Louisville, Kentucky. His current practice location is 3934 Dutchmans Ln, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 897-0625.

Clayton Scott Jackson is licensed to practice in Kentucky (license number 10852) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225692361.

Contact Information

Clayton Scott Jackson, DMD, MSD
3934 Dutchmans Ln,
Louisville, KY 40207-4702
(502) 897-0625
(502) 618-4514

Map and Direction




Healthcare Provider's Profile

Full NameClayton Scott Jackson
GenderMale
SpecialityDentist - Pediatric Dentistry
Location3934 Dutchmans Ln, Louisville, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225692361
  • Provider Enumeration Date: 04/24/2019
  • Last Update Date: 01/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5991039034
  • Enrollment ID: I20190625000233

Medical Identifiers

Medical identifiers for Clayton Scott Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225692361NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 12013287A (Indiana)Secondary
1223P0221XDentist - Pediatric Dentistry 10852 (Kentucky)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. Clayton Scott Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clayton Scott Jackson, DMD, MSD
4317 Charlestown Rd,
New Albany, IN 47150-8506

Ph: (812) 258-9626
Clayton Scott Jackson, DMD, MSD
3934 Dutchmans Ln,
Louisville, KY 40207-4702

Ph: (502) 897-0625

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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