Douglas D Jackson, DDS - Medicare Dentist in Belcourt, ND

Douglas D Jackson, DDS is a medicare enrolled "Dentist" provider in Belcourt, North Dakota. His current practice location is 1300 Hospital Loop, Belcourt, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 477-6111.

Douglas D Jackson is licensed to practice in Arkansas (license number 2844) 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 1568429173.

Contact Information

Douglas D Jackson, DDS
1300 Hospital Loop,
Belcourt, ND 58316
(701) 477-6111
Not Available



Healthcare Provider's Profile

Full NameDouglas D Jackson
GenderMale
SpecialityDentist
Location1300 Hospital Loop, Belcourt, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568429173
  • Provider Enumeration Date: 04/27/2006
  • Last Update Date: 02/19/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4789812603
  • Enrollment ID: I20140122000676

Medical Identifiers

Medical identifiers for Douglas D Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568429173NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 2844 (Arkansas)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. Douglas D Jackson allows following entities to bill medicare on his behalf.
Entity NameQuentin N Burdick Comprehensive Health Care Facility
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952346934
PECOS PAC ID: 5496651853
Enrollment ID: O20031208001052

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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. Douglas D Jackson 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 AddressPractice Location Address
Douglas D Jackson, DDS
1300 Hospital Loop,
Belcourt, ND 58316

Ph: (701) 477-6111
Douglas D Jackson, DDS
1300 Hospital Loop,
Belcourt, ND 58316

Ph: (701) 477-6111

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Dentist in Belcourt, ND

Dr. Joseph Wayne Collins, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Hospital Road, Belcourt, ND 58316
Phone: 701-477-8439    
Dr. Ruth Anita Hawkins, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Main Street, Quentin N Burdick Memorial Health Care Facility, Belcourt, ND 58316
Phone: 701-477-8439    
John Robert Kerr, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: Quentin N. Burdick Memorial Hospital 1300 Hospital Loop, Belcourt, ND 58316
Phone: 701-477-6111    
Dr. Frank Collum Cartwright, DDS.
Dentist
Medicare: Medicare Enrolled
Practice Location: 1300 Hospital Loop, Belcourt, ND 58316
Phone: 701-477-6111    
Dr. Burton Clarence Norris, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Hospital Road, Belcourt, ND 58316
Phone: 701-477-6111    
Dr. Julius Romon Theophilus, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: #1 Hospital Road, Quentin N. Burdick Phs Hospital, Belcourt, ND 58316
Phone: 701-477-8439    Fax: 701-477-8402

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