Jackson Hospital And Clinic, Inc is a medicare enrolled primary clinic (Family Medicine) in Deatsville, Alabama. The current practice location for Jackson Hospital And Clinic, Inc is 2175 Us Highway 31 N, Deatsville, Alabama. For appointments, you can reach them via phone at
(334) 568-2120. The mailing address for Jackson Hospital And Clinic, Inc is 1722 Pine St Ste 203, Montgomery, Alabama and phone number is (334) 293-8736.
Jackson Hospital And Clinic, Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1215519418. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(334) 568-2120.
Primary Care Clinic Profile
| Full Name | Jackson Hospital And Clinic, Inc |
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| Speciality | Family Medicine |
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| Location | 2175 Us Highway 31 N, Deatsville, Alabama |
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| Authorized Official Name and Position | Tara Herring (REVENUE CYCLE DIRECTOR) |
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| Authorized Official Contact | 3342402337 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Jackson Hospital And Clinic, Inc
1722 Pine St Ste 203
Montgomery
AL 36106-1158
Ph: (334) 293-8736 | Jackson Hospital And Clinic, Inc
2175 Us Highway 31 N
Deatsville
AL 36022-2714
Ph: (334) 568-2120 |
NPI Details:
| NPI Number | 1215519418 |
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| Provider Enumeration Date | 04/27/2021 |
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| Last Update Date | 04/27/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0547254153 |
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| Medicare Enrollment ID | O20230130000163 |
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Medical Identifiers
Medical identifiers for Jackson Hospital And Clinic, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215519418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Jackson Hospital And Clinic, Inc acts as a billing entity for following providers:
| Provider Name | Steven L Allen |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1508814922
PECOS PAC ID: 4183602758
Enrollment ID: I20041206000210 |
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