Dr Mark K Jackson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Oswego, New York. His current practice location is
110 W 6th St, Oswego, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 349-5000.
Dr Mark K Jackson is licensed to practice in New York (license number 196101) 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 1063405538.
Physician's Profile
| Full Name | Dr Mark K Jackson |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 110 W 6th St, Oswego, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mark K Jackson attended and graduated from in
NPI Data:
- NPI Number: 1063405538
- Provider Enumeration Date: 08/30/2005
- Last Update Date: 09/13/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Mark K Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063405538 | NPI | - | NPPES |
| 01880015 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 196101 (New York) | 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 Mark K 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 Mark K Jackson, MD
104 W Utica St,
Oswego, NY 13126-3031
Ph: (315) 343-0257 | Dr Mark K Jackson, MD
110 W 6th St,
Oswego, NY 13126-2507
Ph: (315) 349-5000 |
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