Wayne Paul Jackman, DDS is a medicare enrolled "Dentist - General Practice" provider in Ravena, Ohio. His current practice location is
444 S Meridian St, Ravena, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 297-6216.
Wayne Paul Jackman is licensed to practice in Ohio (license number 019126) 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 1003071697.
Healthcare Provider's Profile
Full Name | Wayne Paul Jackman |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 444 S Meridian St, Ravena, Ohio |
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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: 1003071697
- Provider Enumeration Date: 07/23/2008
- Last Update Date: 07/23/2008
Medicare PECOS Information:
- PECOS PAC ID: 8628375516
- Enrollment ID: I20160321000187
Medical Identifiers
Medical identifiers for Wayne Paul Jackman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003071697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 019126 (Ohio) | 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. Wayne Paul Jackman 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 |
Wayne Paul Jackman, DDS 444 S Meridian St, Ravenna, OH 44266 Ph: (330) 297-6216 | Wayne Paul Jackman, DDS 444 S Meridian St, Ravena, OH 44233 Ph: (330) 297-6216 |
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