Brent D Jackson, MD in Fillmore, UT - Family Medicine

Brent D Jackson, MD is a Family Medicine physician based in Fillmore, Utah. Brent D Jackson is licensed to practice in Utah (license number 1638281205) and his current practice location is 700 S Highway 99, #3, Fillmore, Utah. He can be reached at his office (for appointments etc.) via phone at (435) 743-5555.

NPI number for Brent D Jackson is 1962418210 and his current mailing address is Po Box 27128, Salt Lake City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962418210.

Contact Information

	Brent D Jackson, MD
	700 S Highway 99, #3, Fillmore, UT 84631-5134
	(435) 743-5555
	Not Available

Physician's Profile

Full Name	Brent D Jackson
Gender	Male
Speciality	Family Medicine
Location	700 S Highway 99, Fillmore, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1962418210
Provider Enumeration Date: 07/31/2006
Last Update Date: 06/15/2010

Medical Identifiers

Medical identifiers for Brent D Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962418210	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	1638281205 (Utah)	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. Brent D Jackson 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
Brent D Jackson, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (435) 743-5555	Brent D Jackson, MD 700 S Highway 99, #3, Fillmore, UT 84631-5134 Ph: (435) 743-5555

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Family Medicine Doctors in Fillmore, UT

Wayne O Brown, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Highway 99, #3, Fillmore, UT 84631 Phone: 435-743-5555
Dr. Craig M. Grose, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 716 S Highway 99, Fillmore, UT 84631 Phone: 435-864-3333 Fax: 435-864-2790
Jonathan Scott Bassett, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 674 S Highway 99, Fillmore, UT 84631 Phone: 435-743-5591

Brent D Jackson, MD - Family Medicine in Fillmore, UT