Jackson Walter Deere, MD in North Logan, UT

Jackson Walter Deere, MD is a medicare enrolled "Otolaryngology" physician in North Logan, Utah. His current practice location is 2245 N 400 E Ste 301, North Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 753-7880.

Jackson Walter Deere is licensed to practice in Utah (license number 13768482-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497311369.

Contact Information

	Jackson Walter Deere, MD
	2245 N 400 E Ste 301, North Logan, UT 84341-1892
	(435) 753-7880
	(435) 753-5845

Map and Direction

Physician's Profile

Full Name	Jackson Walter Deere
Gender	Male
Speciality	Otolaryngology
Location	2245 N 400 E Ste 301, North Logan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497311369
Provider Enumeration Date: 05/15/2019
Last Update Date: 08/09/2024

Medicare PECOS Information:

PECOS PAC ID: 5294060109
Enrollment ID: I20190716000066

Medical Identifiers

Medical identifiers for Jackson Walter Deere such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497311369	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	13768482-1205 (Utah)	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 Walter Deere 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
Jackson Walter Deere, MD 2245 N 400 E Ste 301, North Logan, UT 84341-1892 Ph: (435) 753-7880	Jackson Walter Deere, MD 2245 N 400 E Ste 301, North Logan, UT 84341-1892 Ph: (435) 753-7880

Reviews and Comments

Otolaryngology Doctors in North Logan, UT

Zachary Robinett, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2245 N 400 E, Ste 301, North Logan, UT 84341 Phone: 435-753-7880 Fax: 435-753-5845
Dr. Jeffrey Green Bennion, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2245 N 400 E, Ste 301, North Logan, UT 84341 Phone: 435-753-7880 Fax: 435-753-5845
Dr. James Wallentine Blotter, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2245 N 400 E, Ste 301, North Logan, UT 84341 Phone: 435-753-7880 Fax: 435-753-5845

Jackson Walter Deere, MD - Medicare Otolaryngology in North Logan, UT