Grant Wells Jackson, MD is a
Family Medicine physician based in Montesano, Washington. Grant Wells Jackson is licensed to practice in Washington (license number MD60002207) and his current practice location is 319 E Pioneer Ave, Grant W Jackson Md Ps, Montesano, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 249-1980.
NPI number for Grant Wells Jackson is 1306901475 and his current mailing address is 319 E Pioneer Ave, Grant W Jackson Md Ps, Montesano, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306901475.
Physician's Profile
| Full Name | Grant Wells Jackson |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
|---|
| Location | 319 E Pioneer Ave, Montesano, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1306901475
- Provider Enumeration Date: 12/27/2006
- Last Update Date: 08/04/2008
Medical Identifiers
Medical identifiers for Grant Wells Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306901475 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | ML002797 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | ML002797 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | MD60002207 (Washington) | 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. Grant Wells 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 |
|---|
Grant Wells Jackson, MD
319 E Pioneer Ave, Grant W Jackson Md Ps,
Montesano, WA 98563-4601
Ph: (360) 249-1980 | Grant Wells Jackson, MD
319 E Pioneer Ave, Grant W Jackson Md Ps,
Montesano, WA 98563-4601
Ph: (360) 249-1980 |
Reviews and Comments