Anita Louise Jackson, MD is a
Otolaryngology physician based in Lumberton, North Carolina. Anita Louise Jackson is licensed to practice in North Carolina (license number 9700991) and her current practice location is 4315 Ludgate St, Lumberton, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 738-1919.
NPI number for Anita Louise Jackson is 1346286010 and her current mailing address is Po Box 1046, Lumberton, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346286010.
Physician's Profile
| Full Name | Anita Louise Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Otolaryngology |
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| Location | 4315 Ludgate St, Lumberton, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346286010
- Provider Enumeration Date: 06/21/2006
- Last Update Date: 12/13/2010
Medical Identifiers
Medical identifiers for Anita Louise Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346286010 | NPI | - | NPPES |
| 0215Y | Other | NC | BCBS |
| 892015Y | Medicaid | NC | |
| 103883 | Other | NC | UNITEDHEALTH CARE |
| 040013091 | Other | NC | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 9700991 (North Carolina) | 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. Anita Louise Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Anita Louise Jackson, MD
Po Box 1046,
Lumberton, NC 28359-1046
Ph: (910) 738-1919 | Anita Louise Jackson, MD
4315 Ludgate St,
Lumberton, NC 28358-2460
Ph: (910) 738-1919 |
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