Dennis N Jackson, MD - Medicare Emergency Medicine in Salt Lake City, UT

Dennis N Jackson, MD is a medicare enrolled "Emergency Medicine" physician in Salt Lake City, Utah. His current practice location is 590 S Wakara Way, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-2121.

Dennis N Jackson is licensed to practice in Utah (license number 13323091-1205) 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 1063039824.

Contact Information

Dennis N Jackson, MD
590 S Wakara Way,
Salt Lake City, UT 84108-1200
(801) 581-2121
Not Available



Physician's Profile

Full NameDennis N Jackson
GenderMale
SpecialityEmergency Medicine
Location590 S Wakara Way, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063039824
  • Provider Enumeration Date: 06/28/2020
  • Last Update Date: 08/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0143649939
  • Enrollment ID: I20230620001522

Medical Identifiers

Medical identifiers for Dennis N Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063039824NPI-NPPES
J250139622810OtherSTATE OF MICHIGAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PS0010XEmergency Medicine - Sports Medicine 13323091-1205 (Utah)Secondary
207P00000XEmergency Medicine 13323091-1205 (Utah)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. Dennis N Jackson allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Utah Adult Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114321981
PECOS PAC ID: 0941525273
Enrollment ID: O20150209001683

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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. Dennis N 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
Dennis N Jackson, MD
590 S Wakara Way,
Salt Lake City, UT 84108-1200

Ph: (801) 581-2121
Dennis N Jackson, MD
590 S Wakara Way,
Salt Lake City, UT 84108-1200

Ph: (801) 581-2121

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Emergency Medicine Doctors in Salt Lake City, UT

Dr. Benjamin J. Verseman, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 30 N 1900 E # 1c026, Salt Lake City, UT 84132
Phone: 801-581-2417    
Dr. Carrie Anderson, DVM
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1021 E 3300 S, Salt Lake City, UT 84106
Phone: 801-942-3951    Fax: 801-942-3951
Lindsey L. Fell, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: Helix: 30 N Mario Capecchi Dr Rm 2s200, Salt Lake City, UT 84112
Phone: 801-581-2121    
Jared C Dunn, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107
Phone: 801-314-4020    Fax: 801-314-4015
Jeffrey Druck, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132
Phone: 801-581-2121    
Kristen Jahn, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1050 E South Temple, Salt Lake City, UT 84102
Phone: 801-350-4111    
Marian Serra, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1050 E South Temple, Salt Lake City, UT 84102
Phone: 801-350-4111    

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