Dr Nathanial Damon Jackson, DDS in Tucson, AZ

Dr Nathanial Damon Jackson, DDS is a medicare enrolled "Dentist" provider in Tucson, Arizona. His current practice location is 839 W Congress St, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 792-9890.

Dr Nathanial Damon Jackson is licensed to practice in District Of Columbia (license number DEN1000767) 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 1134371966.

Contact Information

	Dr Nathanial Damon Jackson, DDS
	839 W Congress St, Tucson, AZ 85745-2819
	(520) 792-9890
	(520) 884-9287

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nathanial Damon Jackson
Gender	Male
Speciality	Dentist
Location	839 W Congress St, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134371966
Provider Enumeration Date: 10/10/2008
Last Update Date: 04/05/2024

Medicare PECOS Information:

PECOS PAC ID: 0941324859
Enrollment ID: I20100830000658

Medical Identifiers

Medical identifiers for Dr Nathanial Damon Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134371966	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	054051 (New York)	Secondary
122300000X	Dentist	DEN1000767 (District Of Columbia)	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. Dr Nathanial Damon Jackson allows following entities to bill medicare on his behalf.

Entity Name	Community Clinic, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790730281 PECOS PAC ID: 6204722614 Enrollment ID: O20040224000222

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 Nathanial Damon 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
Dr Nathanial Damon Jackson, DDS 839 W Congress St, Tucson, AZ 85745-2819 Ph: (520) 792-9890	Dr Nathanial Damon Jackson, DDS 839 W Congress St, Tucson, AZ 85745-2819 Ph: (520) 792-9890

Reviews and Comments

Dentist in Tucson, AZ

Dr. Michael David Walbom, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 801 N Wilmot Rd Ste A4, Tucson, AZ 85711 Phone: 520-748-2845 Fax: 520-747-9423
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Dr. Russell James Weed, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2300 N Craycroft Rd, Suite 2, Tucson, AZ 85712 Phone: 520-745-1220 Fax: 520-298-4365
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Dr. S Burton Ross, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2122 N Craycroft Rd, #106, Tucson, AZ 85712 Phone: 520-886-3100 Fax: 520-886-4647

Dr Nathanial Damon Jackson, DDS - Medicare Dentist in Tucson, AZ