Dr Edward Leslie Jackson, MD in Fayetteville, AR

Dr Edward Leslie Jackson, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Fayetteville, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Medical Associates Of Northwest Arkansas, Pa and his current practice location is 3344 N Futrall Dr, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 521-8200.

Dr Edward Leslie Jackson is licensed to practice in Arkansas (license number E-4775) 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 1174506448.

Contact Information

	Dr Edward Leslie Jackson, MD
	3344 N Futrall Dr, Fayetteville, AR 72703-4057
	(479) 521-8200
	(479) 582-7310

Map and Direction

Physician's Profile

Full Name	Dr Edward Leslie Jackson
Gender	Male
Speciality	Pulmonary Disease
Experience	27 Years
Location	3344 N Futrall Dr, 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:

Dr Edward Leslie Jackson attended and graduated from University Of Arkansas College Of Medicine in 1997

NPI Data:

NPI Number: 1174506448
Provider Enumeration Date: 11/21/2005
Last Update Date: 03/14/2024

Medicare PECOS Information:

PECOS PAC ID: 2365454931
Enrollment ID: I20060622000312

Medical Identifiers

Medical identifiers for Dr Edward Leslie Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174506448	NPI	-	NPPES
5N545	Other	AR	AR BCBS
P00327943	Other	AR	RR MCR
160768001	Medicaid	AR
200088310A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	E-4775 (Arkansas)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	E-4775 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Washington Regional Medical Center	Fayetteville, AR	Hospital
Mercy Hospital Fort Smith	Fort smith, AR	Hospital
Baxter Regional Medical Center	Mountain home, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medical Associates Of Northwest Arkansas, Pa	3678542073	95

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. Dr Edward Leslie Jackson allows following entities to bill medicare on his behalf.

Entity Name	Medical Associates Of Northwest Arkansas, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801847827 PECOS PAC ID: 3678542073 Enrollment ID: O20041001000671

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 Edward Leslie 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
Dr Edward Leslie Jackson, MD Po Box 1523, Fayetteville, AR 72702-1523 Ph: (479) 521-8200	Dr Edward Leslie Jackson, MD 3344 N Futrall Dr, Fayetteville, AR 72703-4057 Ph: (479) 521-8200

Reviews and Comments

Internal Medicine Doctors in Fayetteville, AR

Lauren Cantwell Paulk, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1706 E Joyce Blvd Ste 2, Fayetteville, AR 72703 Phone: 479-966-9370
David R Crittenden, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1408 E Elmwood Dr, Fayetteville, AR 72703 Phone: 479-442-0759
Kim R Agee, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7310
Dr. David A Churchill, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703 Phone: 479-571-4338 Fax: 479-571-4015
Dr. Marlan Levan Rhame Iii, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 Fax: 479-587-5929
Waqar M Mehal, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 12 E Appleby, Suite 101, Fayetteville, AR 72703 Phone: 479-463-4444 Fax: 479-463-4499
Dr. Jason Glenn Daily, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7329

Dr Edward Leslie Jackson, MD - Medicare Pulmonary Disease in Fayetteville, AR