Dr Jabez Fenton Jackson Jr, MD is a
Obstetrics & Gynecology physician based in Newport, Arkansas. Dr Jabez Fenton Jackson Jr is licensed to practice in Arkansas (license number C4208) and his current practice location is 1201 Mclain St, Newport, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(870) 523-3289.
NPI number for Dr Jabez Fenton Jackson Jr is 1801866900 and his current mailing address is Po Box 1210, Newport, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. 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 | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801866900
- Provider Enumeration Date: 01/23/2006
- Last Update Date: 05/16/2011
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
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 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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