Ms Dianne Regina Jackson, MD is a
General Practice physician based in Owings Mills, Maryland. Ms Dianne Regina Jackson is licensed to practice in Maryland (license number D0039496) and her current practice location is 9601 Reistertown Rd, Owings Mills, Maryland. She can be reached at her office (for appointments etc.) via phone at
(301) 352-9763.
NPI number for Ms Dianne Regina Jackson is 1003193947 and her current mailing address is P.o. Box (561), Lanham, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003193947.
Physician's Profile
Full Name | Ms Dianne Regina Jackson |
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Gender | Female |
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Speciality | General Practice |
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Location | 9601 Reistertown Rd, Owings Mills, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003193947
- Provider Enumeration Date: 11/07/2011
- Last Update Date: 11/07/2011
Medical Identifiers
Medical identifiers for Ms Dianne Regina Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003193947 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | D0039496 (Maryland) | 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. Ms Dianne Regina 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 |
Ms Dianne Regina Jackson, MD P.o. Box (561), Lanham, MD 20703 Ph: (301) 352-9763 | Ms Dianne Regina Jackson, MD 9601 Reistertown Rd, Owings Mills, MD 21117 Ph: (301) 352-9763 |
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