David Stevens Jackson, MD is a
Internal Medicine physician based in Hoosick Falls, New York. David Stevens Jackson is licensed to practice in New York (license number 120359) and his current practice location is 16 Danforth St, Hoosick Falls, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 686-5002.
NPI number for David Stevens Jackson is 1144219833 and his current mailing address is Po Box 304, Glens Falls, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144219833.
Physician's Profile
| Full Name | David Stevens Jackson |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 16 Danforth St, Hoosick Falls, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144219833
- Provider Enumeration Date: 10/17/2005
- Last Update Date: 06/03/2008
Medical Identifiers
Medical identifiers for David Stevens Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144219833 | NPI | - | NPPES |
| 00359504 | Medicaid | NY | |
| P00010321 | Other | NY | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 120359 (New York) | 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. David Stevens 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 |
|---|
David Stevens Jackson, MD
Po Box 304,
Glens Falls, NY 12801-0304
Ph: (518) 926-6992 | David Stevens Jackson, MD
16 Danforth St,
Hoosick Falls, NY 12090-1226
Ph: (518) 686-5002 |
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