Brian D. Jackson, Dpm, Llc is a
Podiatrist based in Pulaski, Tennessee. Brian D. Jackson, Dpm, Llc is licensed to practice in Tennessee (license number 436) and their current practice location is
306 S 7th St, Pulaski, Tennessee. It can be reached at their office (for appointments etc.) via phone at
(931) 424-3338.
NPI number for Brian D. Jackson, Dpm, Llc is 1063686269 and their current mailing address is 1215 Hatcher Ln, Columbia, Tennessee. Brian D. Jackson, Dpm, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1063686269.
Healthcare Provider's Profile
Full Name | Brian D. Jackson, Dpm, Llc |
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Type | Facility |
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Speciality | Podiatrist |
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Location | 306 S 7th St, Pulaski, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063686269
- Provider Enumeration Date: 04/17/2008
- Last Update Date: 04/17/2008
Medical Identifiers
Medical identifiers for Brian D. Jackson, Dpm, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063686269 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 436 (Tennessee) | 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. Brian D. Jackson, Dpm, Llc 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 |
Brian D. Jackson, Dpm, Llc 1215 Hatcher Ln, Columbia, TN 38401-3531 Ph: (931) 380-0353 | Brian D. Jackson, Dpm, Llc 306 S 7th St, Pulaski, TN 38478-3607 Ph: (931) 424-3338 |
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