Jackson Duane Law, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Enterprise, Oregon. His current practice location is
601 Medical Pkwy, Enterprise, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 426-3111.
Jackson Duane Law is licensed to practice in Oregon (license number 221041) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114507795
- Provider Enumeration Date: 04/08/2021
- Last Update Date: 11/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234662537
- Enrollment ID: I20241024003755
Medical Identifiers
Medical identifiers for Jackson Duane Law such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114507795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 221041 (Oregon) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jackson Duane Law allows following entities to bill medicare on his behalf.
| Provider Name | Wallowa County Health Care District |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1447256250
PECOS PAC ID: 4183537566
Enrollment ID: O20031120000556 |
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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
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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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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