Dr Mark Jackson, MD in Fort Yates, ND - Preventive Medicine

Dr Mark Jackson, MD is a Preventive Medicine - Public Health & General Preventive Medicine physician based in Fort Yates, North Dakota. Dr Mark Jackson is licensed to practice in Maine (license number 012211) and his current practice location is 10 Standing Rock Agency Avenue, Fort Yates, North Dakota. He can be reached at his office (for appointments etc.) via phone at (701) 854-3831.

NPI number for Dr Mark Jackson is 1528289881 and his current mailing address is 10 River Road, Fort Yates, North Dakota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528289881.

Contact Information

	Dr Mark Jackson, MD
	10 Standing Rock Agency Avenue, Fort Yates, ND 58538
	(701) 854-3831
	(701) 854-7411

Physician's Profile

Full Name	Dr Mark Jackson
Gender	Male
Speciality	Preventive Medicine - Public Health & General Preventive Medicine
Location	10 Standing Rock Agency Avenue, Fort Yates, North Dakota
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1528289881
Provider Enumeration Date: 05/02/2007
Last Update Date: 06/27/2008

Medical Identifiers

Medical identifiers for Dr Mark Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528289881	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083P0901X	Preventive Medicine - Public Health & General Preventive Medicine	012211 (Maine)	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. Dr Mark 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
Dr Mark Jackson, MD 10 River Road, Fort Yates, ND 58538-0179 Ph: (701) 854-3831	Dr Mark Jackson, MD 10 Standing Rock Agency Avenue, Fort Yates, ND 58538 Ph: (701) 854-3831

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Dr Mark Jackson, MD - Preventive Medicine in Fort Yates, ND