Dennis N Jackson, MD in Salt Lake City, UT - Medicare Emergency Medicine

Dennis N Jackson, MD is a medicare enrolled "Emergency Medicine" physician in Salt Lake City, Utah. His current practice location is 590 S Wakara Way, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-2121.

Dennis N Jackson is licensed to practice in Utah (license number 13323091-1205) 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 1063039824.

Contact Information

	Dennis N Jackson, MD
	590 S Wakara Way, Salt Lake City, UT 84108-1200
	(801) 581-2121
	Not Available

Map and Direction

Physician's Profile

Full Name	Dennis N Jackson
Gender	Male
Speciality	Emergency Medicine
Location	590 S Wakara Way, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063039824
Provider Enumeration Date: 06/28/2020
Last Update Date: 08/23/2023

Medicare PECOS Information:

PECOS PAC ID: 0143649939
Enrollment ID: I20230620001522

Medical Identifiers

Medical identifiers for Dennis N Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063039824	NPI	-	NPPES
J250139622810	Other		STATE OF MICHIGAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PS0010X	Emergency Medicine - Sports Medicine	13323091-1205 (Utah)	Secondary
207P00000X	Emergency Medicine	13323091-1205 (Utah)	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. Dennis N Jackson allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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. Dennis N 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
Dennis N Jackson, MD 590 S Wakara Way, Salt Lake City, UT 84108-1200 Ph: (801) 581-2121	Dennis N Jackson, MD 590 S Wakara Way, Salt Lake City, UT 84108-1200 Ph: (801) 581-2121

Reviews and Comments

Emergency Medicine Doctors in Salt Lake City, UT

Dr. Benjamin J. Verseman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 1c026, Salt Lake City, UT 84132 Phone: 801-581-2417
Dr. Carrie Anderson, DVM Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1021 E 3300 S, Salt Lake City, UT 84106 Phone: 801-942-3951 Fax: 801-942-3951
Lindsey L. Fell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Helix: 30 N Mario Capecchi Dr Rm 2s200, Salt Lake City, UT 84112 Phone: 801-581-2121
Jared C Dunn, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107 Phone: 801-314-4020 Fax: 801-314-4015
Jeffrey Druck, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Kristen Jahn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111
Marian Serra, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111

Dennis N Jackson, MD - Medicare Emergency Medicine in Salt Lake City, UT