Daniel Forrest Jackson Iii, MD in Dothan, AL

Daniel Forrest Jackson Iii, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Dothan, Alabama. His current practice location is 480 Honeysuckle Rd, Dothan, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 836-1212.

Daniel Forrest Jackson Iii is licensed to practice in Alabama (license number 11900) 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 1922052794.

Contact Information

	Daniel Forrest Jackson Iii, MD
	480 Honeysuckle Rd, Dothan, AL 36305
	(334) 836-1212
	(334) 836-1888

Map and Direction

Physician's Profile

Full Name	Daniel Forrest Jackson Iii
Gender	Male
Speciality	Internal Medicine - Gastroenterology
Location	480 Honeysuckle Rd, Dothan, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922052794
Provider Enumeration Date: 05/19/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5890772834
Enrollment ID: I20050712000499

Medical Identifiers

Medical identifiers for Daniel Forrest Jackson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922052794	NPI	-	NPPES
1199413	Other		UNITED HEALTHCARE
00301254A	Medicaid	GA
P00229127	Other		RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	11900 (Alabama)	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. Daniel Forrest Jackson Iii allows following entities to bill medicare on his behalf.

Entity Name	Gut Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073566006 PECOS PAC ID: 3375589799 Enrollment ID: O20050707000149

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. Daniel Forrest Jackson Iii 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
Daniel Forrest Jackson Iii, MD 480 Honeysuckle Rd, Dothan, AL 36305 Ph: (334) 836-1212	Daniel Forrest Jackson Iii, MD 480 Honeysuckle Rd, Dothan, AL 36305 Ph: (334) 836-1212

Reviews and Comments

Internal Medicine Doctors in Dothan, AL

Parks Winfield Pratt Iii, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4300 W Main St, Suite 102, Dothan, AL 36305 Phone: 334-793-9564 Fax: 334-671-8907
Mr. Rodney K Beauchamp, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 200 Parkwest Cir Ste 2, Dothan, AL 36303 Phone: 334-699-2004
Brian Reynolds Sinclair, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1450 Ross Clark Cir Ste 400, Dothan, AL 36301 Phone: 334-305-0400 Fax: 334-305-0401
Dr. Olawale Mayokun Osunsanya, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1763 E Main St, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291
Jeffrey John Crittenden, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212 Fax: 334-836-1888
Dr. Venkat R Nimmagadda, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1540 E Main St, Dothan, AL 36301 Phone: 334-793-2618 Fax: 334-792-7353
Christopher O. Ike, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4300 W Main St Ste 102, Dothan, AL 36305 Phone: 334-793-9564 Fax: 334-340-2805

Daniel Forrest Jackson Iii, MD - Medicare Internal Medicine in Dothan, AL