Dr Keith Jackson, MD in Roswell, GA

Dr Keith Jackson, MD is a medicare enrolled "Otolaryngology" physician in Roswell, Georgia. His current practice location is 1360 Upper Hembree Rd Ste 201b, Roswell, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 475-3361.

Dr Keith Jackson is licensed to practice in Georgia (license number 027575) 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 1225016454.

Contact Information

	Dr Keith Jackson, MD
	1360 Upper Hembree Rd Ste 201b, Roswell, GA 30076-1230
	(770) 475-3361
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Keith Jackson
Gender	Male
Speciality
Experience	Years
Location	1360 Upper Hembree Rd Ste 201b, Roswell, Georgia
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 Keith Jackson attended and graduated from in

NPI Data:

NPI Number: 1225016454
Provider Enumeration Date: 01/06/2006
Last Update Date: 10/15/2019

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

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

Identifier	Type	State	Issuer
1225016454	NPI	-	NPPES
00377539B	Medicaid	GA
00377539C	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	027575 (Georgia)	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 Keith 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 Keith Jackson, MD 12080 Wildwood Springs Dr, Roswell, GA 30075-1887 Ph: (770) 475-3361	Dr Keith Jackson, MD 1360 Upper Hembree Rd Ste 201b, Roswell, GA 30076-1230 Ph: (770) 475-3361

Reviews and Comments

Otolaryngology Doctors in Roswell, GA

Vivek V. Gurudutt, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1360 Upper Hembree Rd, Suite 201b, Roswell, GA 30076 Phone: 770-475-3361 Fax: 770-664-4431
Dr. Andrew Diamond, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076 Phone: 770-475-3361 Fax: 770-664-4431
Sunny Singh Khichi, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Boulevard, Suite 450, Roswell, GA 30076 Phone: 770-343-8675 Fax: 770-343-6297
Dr. Jennifer L. Tirino, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1360 Upper Hembree Rd, Suite 101, Roswell, GA 30076 Phone: 770-457-3361 Fax: 770-664-4431
Fiyin Sokoya, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1360 Upper Hembree Rd Ste 201b, Roswell, GA 30076 Phone: 770-475-3361
Dr. Yohan Song, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 1360 Upper Hembree Rd Ste 101, Roswell, GA 30076 Phone: 770-225-1874 Fax: 678-254-0618

Dr Keith Jackson, MD - Medicare in Roswell, GA