Mr Thomas Michael Jackson, DO in Carmen, ID - Emergency Medicine

Mr Thomas Michael Jackson, DO is a Emergency Medicine physician based in Carmen, Idaho. Mr Thomas Michael Jackson is licensed to practice in Idaho (license number 021) and his current practice location is 7 Bitterroot Road, Carmen, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 756-8047.

NPI number for Mr Thomas Michael Jackson is 1134380694 and his current mailing address is 7 Bitterroot Road, Po Box 47, Carmen, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134380694.

Contact Information

	Mr Thomas Michael Jackson, DO
	7 Bitterroot Road, Carmen, ID 83462
	(208) 756-8047
	Not Available

Physician's Profile

Full Name	Mr Thomas Michael Jackson
Gender	Male
Speciality	Emergency Medicine
Location	7 Bitterroot Road, Carmen, Idaho
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1134380694
Provider Enumeration Date: 06/18/2008
Last Update Date: 06/18/2008

Medical Identifiers

Medical identifiers for Mr Thomas Michael Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134380694	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	021 (Idaho)	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. Mr Thomas Michael 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
Mr Thomas Michael Jackson, DO 7 Bitterroot Road, Po Box 47, Carmen, ID 83462 Ph: (208) 756-8047	Mr Thomas Michael Jackson, DO 7 Bitterroot Road, Carmen, ID 83462 Ph: (208) 756-8047

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Mr Thomas Michael Jackson, DO - Emergency Medicine in Carmen, ID