Dr Norris Jackson, MD is a
Surgery physician based in Jbsa Lackland, Texas. Dr Norris Jackson is licensed to practice in Indiana (license number 01058697A) and his current practice location is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. He can be reached at his office (for appointments etc.) via phone at
(702) 460-1720.
NPI number for Dr Norris Jackson is 1659432417 and his current mailing address is 1599 J St, Grand Forks Afb, North Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659432417.
Physician's Profile
| Full Name | Dr Norris Jackson |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas |
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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: 1659432417
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 08/21/2023
Medical Identifiers
Medical identifiers for Dr Norris Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659432417 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 01058697A (Indiana) | 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 Norris Jackson 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 Norris Jackson, MD
1599 J St,
Grand Forks Afb, ND 58205-6332
Ph: (701) 747-5547 | Dr Norris Jackson, MD
1100 Wilford Hall Loop Bldg 4554,
Jbsa Lackland, TX 78236-5638
Ph: (702) 460-1720 |
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