Dr John Owens Jackson Jr, MD is a medicare enrolled "Pediatrics" physician in Paris, Tennessee. His current practice location is
1323 East Wood Street, East Wood Clinic, Paris, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 642-2011.
Dr John Owens Jackson Jr is licensed to practice in Tennessee (license number MD14033) 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 1386676534.
Physician's Profile
| Full Name | Dr John Owens Jackson Jr |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 1323 East Wood Street, Paris, Tennessee |
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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: 1386676534
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 02/12/2013
Medicare PECOS Information:
- PECOS PAC ID: 3678465440
- Enrollment ID: I20171004000205
Medical Identifiers
Medical identifiers for Dr John Owens Jackson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386676534 | NPI | - | NPPES |
| 3000296 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | MD14033 (Tennessee) | 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. Dr John Owens Jackson Jr allows following entities to bill medicare on his behalf.
| Entity Name | Pediatrix Medical Group Of Florida Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083711790
PECOS PAC ID: 4486634417
Enrollment ID: O20040721000998 |
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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 John Owens 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 John Owens Jackson Jr, MD
1323 East Wood Street, East Wood Clinic,
Paris, TN 38242
Ph: (731) 642-2011 | Dr John Owens Jackson Jr, MD
1323 East Wood Street, East Wood Clinic,
Paris, TN 38242
Ph: (731) 642-2011 |
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