Jackson Duane Law, DPM is a
Podiatrist - Foot & Ankle Surgery based in Enterprise, Oregon. Jackson Duane Law is licensed to practice in Oregon (license number 221041) and his current practice location is
601 Medical Pkwy, Enterprise, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 426-3111.
NPI number for Jackson Duane Law is 1114507795 and his current mailing address is 911 Hamel Dr, Enterprise, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114507795.
Healthcare Provider's Profile
Full Name | Jackson Duane Law |
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Gender | Male |
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Speciality | Podiatrist - Foot & Ankle Surgery |
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Location | 601 Medical Pkwy, Enterprise, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114507795
- Provider Enumeration Date: 04/08/2021
- Last Update Date: 11/05/2024
Medical Identifiers
Medical identifiers for Jackson Duane Law such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114507795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 221041 (Oregon) | 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 Duane Law 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 |
Jackson Duane Law, DPM 911 Hamel Dr, Enterprise, OR 97828-1437 Ph: (480) 861-3804 | Jackson Duane Law, DPM 601 Medical Pkwy, Enterprise, OR 97828-5124 Ph: (541) 426-3111 |
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