Charles Mark Jackson, MD in Fayetteville, AR

Charles Mark Jackson, MD is a medicare enrolled "Urology" physician in Fayetteville, Arkansas. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 2010 and has 14 years of diverse experience with area of expertise as Urology. He is a member of the group practice Washington Regional Medical System and his current practice location is 3 E Appleby Rd Ste 201, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 404-1100.

Charles Mark Jackson is licensed to practice in Arkansas (license number E-9270) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255659082.

Contact Information

	Charles Mark Jackson, MD
	3 E Appleby Rd Ste 201, Fayetteville, AR 72703-3158
	(479) 404-1100
	(479) 404-1101

Map and Direction

Physician's Profile

Full Name	Charles Mark Jackson
Gender	Male
Speciality	Urology
Experience	14 Years
Location	3 E Appleby Rd Ste 201, Fayetteville, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles Mark Jackson attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2010

NPI Data:

NPI Number: 1255659082
Provider Enumeration Date: 05/04/2010
Last Update Date: 06/19/2023

Medicare PECOS Information:

PECOS PAC ID: 8325355191
Enrollment ID: I20150911001366

Medical Identifiers

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

Identifier	Type	State	Issuer
1255659082	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	E-9270 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Washington Regional Medical Center	Fayetteville, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Washington Regional Medical System	8820995434	226

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. Charles Mark Jackson allows following entities to bill medicare on his behalf.

Entity Name	Washington Regional Medical System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205073657 PECOS PAC ID: 8820995434 Enrollment ID: O20090420000382

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. Charles Mark 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
Charles Mark Jackson, MD 3 E Appleby Rd Ste 201, Fayetteville, AR 72703-3158 Ph: (479) 404-1100	Charles Mark Jackson, MD 3 E Appleby Rd Ste 201, Fayetteville, AR 72703-3158 Ph: (479) 404-1100

Reviews and Comments

Urology Doctors in Fayetteville, AR

Richard D Mcwhorter, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2 East Appleby Rd., Suite 201, Fayetteville, AR 72703 Phone: 479-404-1100 Fax: 479-404-1101
William Vernon Fairchild, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301
Dr. Aleksandar Cody Blubaum, MD Urology Medicare: Medicare Enrolled Practice Location: 3 E Appleby Rd Ste 201, Fayetteville, AR 72703 Phone: 479-404-1100
Dr. Issam Toufic Shalhoub, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301
Michael R Wilson, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1300 E Zion Rd, Fayetteville, AR 72703 Phone: 479-521-8980 Fax: 479-521-8982
Truman Stephen Shaddox, M.D. Urology Medicare: Medicare Enrolled Practice Location: 12 E Appleby Rd, Ste 101, Fayetteville, AR 72703 Phone: 479-463-4444 Fax: 479-463-4499

Charles Mark Jackson, MD - Medicare Urology in Fayetteville, AR