Trevor Jackson, DO is a
Student In An Organized Health Care Education/training Program physician based in South Miami, Florida. Trevor Jackson is licensed to practice in * (Not Available) (license number ) and his current practice location is 7031 Sw 62nd Ave, South Miami, Florida. He can be reached at his office (for appointments etc.) via phone at
(305) 284-1776.
NPI number for Trevor Jackson is 1245812452 and his current mailing address is 7031 Sw 62nd Ave, South Miami, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245812452.
Physician's Profile
| Full Name | Trevor Jackson |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 7031 Sw 62nd Ave, South Miami, Florida |
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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: 1245812452
- Provider Enumeration Date: 04/27/2021
- Last Update Date: 12/29/2023
Medical Identifiers
Medical identifiers for Trevor Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245812452 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | OS20575 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Trevor 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 |
|---|
Trevor Jackson, DO
7031 Sw 62nd Ave,
South Miami, FL 33143-4701
Ph: (305) 284-1776 | Trevor Jackson, DO
7031 Sw 62nd Ave,
South Miami, FL 33143-4701
Ph: (305) 284-1776 |
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