Dr Billy Michael Jackson, MD is a
Surgery physician based in Los Alamos, New Mexico. Dr Billy Michael Jackson is licensed to practice in New Mexico (license number 72160) and his current practice location is 3917 West Rd, Suite 150, Los Alamos, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 662-4351.
NPI number for Dr Billy Michael Jackson is 1629076864 and his current mailing address is 3917 West Rd, Suite 150, Los Alamos, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629076864.
Physician's Profile
Full Name | Dr Billy Michael Jackson |
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Gender | Male |
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Speciality | Surgery |
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Location | 3917 West Rd, Los Alamos, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629076864
- Provider Enumeration Date: 07/12/2005
- Last Update Date: 04/16/2008
Medical Identifiers
Medical identifiers for Dr Billy Michael Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629076864 | NPI | - | NPPES |
18523 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 72160 (New Mexico) | 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. Dr Billy Michael 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 |
Dr Billy Michael Jackson, MD 3917 West Rd, Suite 150, Los Alamos, NM 87544 Ph: (505) 662-4351 | Dr Billy Michael Jackson, MD 3917 West Rd, Suite 150, Los Alamos, NM 87544 Ph: (505) 662-4351 |
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