Matthew Jackson, DPT, MOT,ATC is a
Specialist/technologist - Athletic Trainer based in Jena, Louisiana. Matthew Jackson is licensed to practice in Louisiana (license number 07464) and his current practice location is
187 Ninth St, Jena, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 992-9200.
NPI number for Matthew Jackson is 1992027775 and his current mailing address is 187 Ninth St, Jena, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992027775.
Healthcare Provider's Profile
Full Name | Matthew Jackson |
---|
Gender | Male |
---|
Speciality | Specialist/technologist - Athletic Trainer |
---|
Location | 187 Ninth St, Jena, Louisiana |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992027775
- Provider Enumeration Date: 02/22/2010
- Last Update Date: 02/22/2010
Medical Identifiers
Medical identifiers for Matthew Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992027775 | NPI | - | NPPES |
07464 | Other | LA | LA STATE LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 07464 (Louisiana) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | 07464 (Louisiana) | Primary |
225X00000X | Occupational Therapist | 07464 (Louisiana) | Secondary |
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. Matthew 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 |
Matthew Jackson, DPT, MOT,ATC 187 Ninth St, Jena, LA 71342 Ph: (318) 992-9200 | Matthew Jackson, DPT, MOT,ATC 187 Ninth St, Jena, LA 71342-2780 Ph: (318) 992-9200 |
Reviews and Comments