Dr Edward Leslie Jackson, MD - Medicare Pulmonary Disease in Fayetteville, AR

Dr Edward Leslie Jackson, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Fayetteville, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Medical Associates Of Northwest Arkansas, Pa and his current practice location is 3344 N Futrall Dr, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 521-8200.

Dr Edward Leslie Jackson is licensed to practice in Arkansas (license number E-4775) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174506448.

Contact Information

Dr Edward Leslie Jackson, MD
3344 N Futrall Dr,
Fayetteville, AR 72703-4057
(479) 521-8200
(479) 582-7310



Physician's Profile

Full NameDr Edward Leslie Jackson
GenderMale
SpecialityPulmonary Disease
Experience27 Years
Location3344 N Futrall Dr, Fayetteville, Arkansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Edward Leslie Jackson attended and graduated from University Of Arkansas College Of Medicine in 1997
  NPI Data:
  • NPI Number: 1174506448
  • Provider Enumeration Date: 11/21/2005
  • Last Update Date: 03/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2365454931
  • Enrollment ID: I20060622000312

Medical Identifiers

Medical identifiers for Dr Edward Leslie Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174506448NPI-NPPES
5N545OtherARAR BCBS
P00327943OtherARRR MCR
160768001MedicaidAR
200088310AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine E-4775 (Arkansas)Secondary
207RP1001XInternal Medicine - Pulmonary Disease E-4775 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Washington Regional Medical CenterFayetteville, ARHospital
Baxter Regional Medical CenterMountain home, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical Associates Of Northwest Arkansas, Pa367854207398

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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. Dr Edward Leslie Jackson allows following entities to bill medicare on his behalf.
Entity NameMedical Associates Of Northwest Arkansas, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801847827
PECOS PAC ID: 3678542073
Enrollment ID: O20041001000671

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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. Dr Edward Leslie 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
Dr Edward Leslie Jackson, MD
Po Box 1523,
Fayetteville, AR 72702-1523

Ph: (479) 521-8200
Dr Edward Leslie Jackson, MD
3344 N Futrall Dr,
Fayetteville, AR 72703-4057

Ph: (479) 521-8200

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Internal Medicine Doctors in Fayetteville, AR

Lauren Cantwell Paulk, MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 1706 E Joyce Blvd Ste 2, Fayetteville, AR 72703
Phone: 479-966-9370    
David R Crittenden, M.D.
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1408 E Elmwood Dr, Fayetteville, AR 72703
Phone: 479-442-0759    
Kim R Agee, MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703
Phone: 479-521-8200    Fax: 479-582-7310
Dr. David A Churchill,
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703
Phone: 479-571-4338    Fax: 479-571-4015
Dr. Marlan Levan Rhame Iii, M.D.
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 1100 N College Ave, Fayetteville, AR 72703
Phone: 479-443-4301    Fax: 479-587-5929
Waqar M Mehal, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 12 E Appleby, Suite 101, Fayetteville, AR 72703
Phone: 479-463-4444    Fax: 479-463-4499
Dr. Juan I Lombeida, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3232 N North Hills Blvd, Fayetteville, AR 72703
Phone: 479-587-1700    

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