Melissa D Jackson, DMD in Edgewood, NM - Medicare Dentist Provider

Melissa D Jackson, DMD is a medicare enrolled "Dentist - General Practice" provider in Edgewood, New Mexico. Her current practice location is Edgewood Dental, 7 Municipal Way, Edgewood, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 281-3406.

Melissa D Jackson is licensed to practice in New Mexico (license number DD3828) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871930099.

Contact Information

	Melissa D Jackson, DMD
	Edgewood Dental, 7 Municipal Way, Edgewood, NM 87015
	(505) 281-3406
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Melissa D Jackson
Gender	Female
Speciality	Dentist - General Practice
Location	Edgewood Dental, Edgewood, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871930099
Provider Enumeration Date: 05/29/2013
Last Update Date: 10/17/2024

Medicare PECOS Information:

PECOS PAC ID: 6901108984
Enrollment ID: I20181213002733

Medical Identifiers

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

Identifier	Type	State	Issuer
1871930099	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DD3828 (New Mexico)	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. Melissa D Jackson allows following entities to bill medicare on her behalf.

Entity Name	First Choice Community Healthcare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902993132 PECOS PAC ID: 7315854049 Enrollment ID: O20040121001003

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. Melissa 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
Melissa D Jackson, DMD Po Box 913353, Denver, CO 80291-2678 Ph: (505) 241-5182	Melissa D Jackson, DMD Edgewood Dental, 7 Municipal Way, Edgewood, NM 87015 Ph: (505) 281-3406

Reviews and Comments

Dentist in Edgewood, NM

Louis R Bush, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8 Medical Center Rd, Edgewood, NM 87015 Phone: 505-873-7405 Fax: 505-873-7444
Dr. Craig Testerman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7 Municipal Way, Edgewood, NM 87015 Phone: 505-281-3406 Fax: 505-224-8737
Dr. Shamaine Spencer, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 8 Medical Center Rd, Edgewood, NM 87015 Phone: 505-224-8718 Fax: 505-224-8737
Dr. Stephen L Harrington, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1851 Old Hwy 66, Suite C, Edgewood, NM 87015 Phone: 505-281-0373
Dr. Suzanne Mcginty, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1917 Old Hwy 66, St. A, Edgewood, NM 87015 Phone: 505-281-0373
Dr. Dennis W. Jackson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 164 Square H Rd, Edgewood, NM 87015 Phone: 505-610-7885

Melissa D Jackson, DMD - Medicare Dentist in Edgewood, NM