Mr Mark K Jackson, DDS in Madison, WI - Medicare Dentist Provider

Mr Mark K Jackson, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Madison, Wisconsin. His current practice location is 7007 Old Sauk Road, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 833-2060.

Mr Mark K Jackson is licensed to practice in Wisconsin (license number 3459) 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 1598788796.

Contact Information

	Mr Mark K Jackson, DDS
	7007 Old Sauk Road, Madison, WI 53717
	(608) 833-2060
	(608) 833-1737

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Mark K Jackson
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	7007 Old Sauk Road, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598788796
Provider Enumeration Date: 07/26/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6305941576
Enrollment ID: I20070618000206

Medical Identifiers

Medical identifiers for Mr Mark K Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598788796	NPI	-	NPPES
33475100	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	3459 (Wisconsin)	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. Mr Mark K Jackson allows following entities to bill medicare on his behalf.

Entity Name	Center For Oral & Maxillofacial Surgery Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710900808 PECOS PAC ID: 5294830451 Enrollment ID: O20070417000195

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. Mr Mark K 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
Mr Mark K Jackson, DDS 3556 Timber Lane, Cross Plains, WI 53528 Ph: (608) 798-3733	Mr Mark K Jackson, DDS 7007 Old Sauk Road, Madison, WI 53717 Ph: (608) 833-2060

Reviews and Comments

Dentist in Madison, WI

Dr. Lacrima M Goldberg, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 826 Atlas Ave, Madison, WI 53714 Phone: 954-309-5786
Nitin Walia, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7866 Mineral Point Rd, Madison, WI 53717 Phone: 608-422-4746
Jennifer E Bergstrom, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 413 W Washington Ave, Madison, WI 53703 Phone: 608-251-8790 Fax: 608-251-0242
Dr. Michael John Kosovec, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2010 Eastwood Dr, Suite 206, Madison, WI 53704 Phone: 608-241-1579 Fax: 608-241-2061
David Black, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2500 Overlook Ter, Madison, Madison, WI 53705 Phone: 608-280-7035 Fax: 608-280-7211
Paige Peters, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4226 Milwaukee St, Madison, WI 53714 Phone: 563-564-7253
Dr. Tanner J. Mckenna, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1410 Northport Dr, Madison, WI 53704 Phone: 608-244-3410 Fax: 608-244-1915

Mr Mark K Jackson, DDS - Medicare Dentist in Madison, WI