Dr Jerome Adrian Jackson Jr, DDS is a medicare enrolled "Dentist" provider in Montross, Virginia. His current practice location is
18849 Kings Hwy, Montross, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 493-9999.
Dr Jerome Adrian Jackson Jr is licensed to practice in Virginia (license number 0401416132) 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 1659855914.
Healthcare Provider's Profile
Full Name | Dr Jerome Adrian Jackson Jr |
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Gender | Male |
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Speciality | Dentist |
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Location | 18849 Kings Hwy, Montross, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659855914
- Provider Enumeration Date: 09/21/2018
- Last Update Date: 06/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 1456787902
- Enrollment ID: I20200203000127
Medical Identifiers
Medical identifiers for Dr Jerome Adrian Jackson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659855914 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DEN4663 (Maine) | Secondary |
122300000X | Dentist | 0401416132 (Virginia) | 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. Dr Jerome Adrian Jackson Jr 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 |
Dr Jerome Adrian Jackson Jr, DDS 18849 Kings Hwy, Montross, VA 22520-2965 Ph: (804) 493-9999 | Dr Jerome Adrian Jackson Jr, DDS 18849 Kings Hwy, Montross, VA 22520-2965 Ph: (804) 493-9999 |
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