Dr Jabez Fenton Jackson Jr, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Newport, Arkansas. His current practice location is
1201 Mclain St, Newport, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 523-3289.
Dr Jabez Fenton Jackson Jr is licensed to practice in Arkansas (license number C4208) 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 1801866900.
Physician's Profile
| Full Name | Dr Jabez Fenton Jackson Jr |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 1201 Mclain St, Newport, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1801866900
- Provider Enumeration Date: 01/23/2006
- Last Update Date: 05/16/2011
Medicare PECOS Information:
- PECOS PAC ID: 8224013057
- Enrollment ID: I20101020000155
Medical Identifiers
Medical identifiers for Dr Jabez Fenton Jackson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801866900 | NPI | - | NPPES |
| 102814001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | C4208 (Arkansas) | 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 Jabez Fenton Jackson Jr 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 Jabez Fenton Jackson Jr, MD
Po Box 1210,
Newport, AR 72112-1210
Ph: (870) 523-5713 | Dr Jabez Fenton Jackson Jr, MD
1201 Mclain St,
Newport, AR 72112-3533
Ph: (870) 523-3289 |
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