Douglas D Jackson, DDS in Belcourt, ND - Medicare Dentist Provider

Douglas D Jackson, DDS is a medicare enrolled "Dentist" provider in Belcourt, North Dakota. His current practice location is 1300 Hospital Loop, Belcourt, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 477-6111.

Douglas D Jackson is licensed to practice in Arkansas (license number 2844) 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 1568429173.

Contact Information

	Douglas D Jackson, DDS
	1300 Hospital Loop, Belcourt, ND 58316
	(701) 477-6111
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Douglas D Jackson
Gender	Male
Speciality	Dentist
Location	1300 Hospital Loop, Belcourt, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568429173
Provider Enumeration Date: 04/27/2006
Last Update Date: 02/19/2015

Medicare PECOS Information:

PECOS PAC ID: 4789812603
Enrollment ID: I20140122000676

Medical Identifiers

Medical identifiers for Douglas D Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568429173	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2844 (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Douglas D Jackson allows following entities to bill medicare on his behalf.

Entity Name	Quentin N Burdick Comprehensive Health Care Facility
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952346934 PECOS PAC ID: 5496651853 Enrollment ID: O20031208001052

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. Douglas D 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 Address	Practice Location Address
Douglas D Jackson, DDS 1300 Hospital Loop, Belcourt, ND 58316 Ph: (701) 477-6111	Douglas D Jackson, DDS 1300 Hospital Loop, Belcourt, ND 58316 Ph: (701) 477-6111

Reviews and Comments

Dentist in Belcourt, ND

Dr. Joseph Wayne Collins, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Road, Belcourt, ND 58316 Phone: 701-477-8439
Dr. Ruth Anita Hawkins, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Main Street, Quentin N Burdick Memorial Health Care Facility, Belcourt, ND 58316 Phone: 701-477-8439
Dr. Frank Collum Cartwright, DDS. Dentist Medicare: Medicare Enrolled Practice Location: 1300 Hospital Loop, Belcourt, ND 58316 Phone: 701-477-6111
Dr. Burton Clarence Norris, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Road, Belcourt, ND 58316 Phone: 701-477-6111
Dr. Julius Romon Theophilus, DDS Dentist Medicare: Medicare Enrolled Practice Location: #1 Hospital Road, Quentin N. Burdick Phs Hospital, Belcourt, ND 58316 Phone: 701-477-8439 Fax: 701-477-8402
Lawrence J Gaskin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1300 Hospital Loop, Belcourt, ND 58316 Phone: 701-477-6111 Fax: 701-477-2504

Douglas D Jackson, DDS - Medicare Dentist in Belcourt, ND