Jackson Streeter, MD is a
Family Medicine physician based in Newberry, Florida. Jackson Streeter is licensed to practice in Arizona (license number AZ20619) and his current practice location is 13424 Sw 4th Ln, Newberry, Florida. He can be reached at his office (for appointments etc.) via phone at
(619) 813-6018.
NPI number for Jackson Streeter is 1154662658 and his current mailing address is 13424 Sw 4th Ln, Newberry, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154662658.
Physician's Profile
Full Name | Jackson Streeter |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 13424 Sw 4th Ln, Newberry, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154662658
- Provider Enumeration Date: 03/07/2013
- Last Update Date: 03/07/2013
Medical Identifiers
Medical identifiers for Jackson Streeter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154662658 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | AZ20619 (Arizona) | 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. Jackson Streeter 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 |
Jackson Streeter, MD 13424 Sw 4th Ln, Newberry, FL 32669-3050 Ph: (619) 813-6018 | Jackson Streeter, MD 13424 Sw 4th Ln, Newberry, FL 32669-3050 Ph: (619) 813-6018 |
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