Richard T Jackson, MD - Medicare Orthopaedic Surgery in Provo, UT

Richard T Jackson, MD is a medicare enrolled "Orthopaedic Surgery" physician in Provo, Utah. His current practice location is 1055 N 500 W, Suite 121, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 373-7350.

Richard T Jackson is licensed to practice in Utah (license number 158498-1205) 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 1144323163.

Contact Information

Richard T Jackson, MD
1055 N 500 W, Suite 121,
Provo, UT 84604-3305
(801) 373-7350
(801) 812-5401



Physician's Profile

Full NameRichard T Jackson
GenderMale
SpecialityOrthopaedic Surgery
Location1055 N 500 W, Provo, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144323163
  • Provider Enumeration Date: 09/06/2006
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8628012903
  • Enrollment ID: I20050616001258

Medical Identifiers

Medical identifiers for Richard T Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144323163NPI-NPPES
36165OtherUTDMBA
870281028000MedicaidUT
870281028RCHOtherUTEMIA
QM000056630OtherUTALTIUS
107004917104OtherUTIHC
09-00376OtherUTUTAH HEALTHCARE
20045125OtherUTPALMETTO
68073OtherUTPEHP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 158498-1205 (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. Richard T Jackson allows following entities to bill medicare on his behalf.
Entity NameCentral Utah Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093764805
PECOS PAC ID: 7517868508
Enrollment ID: O20040113000805

News Archive

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Modification of surgery used to correct flatfoot deformity may reduce pain and improve outcomes

Virginia Commonwealth University physicians and engineers studying foot and ankle biomechanics have developed a modification to a procedure used to correct adult-acquired flatfoot deformity that may reduce the pressure and pain that often persists after surgery.

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› Verified 7 days ago

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. Richard T 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
Richard T Jackson, MD
1055 N 500 W, Credentialing Department,
Provo, UT 84604-3305

Ph: (801) 354-8225
Richard T Jackson, MD
1055 N 500 W, Suite 121,
Provo, UT 84604-3305

Ph: (801) 373-7350

News Archive

Study reveals long-term cognitive changes and clinical outcomes in psychotic disorders

A new study has shown that relative to participants without a psychotic disorder, those diagnosed with a disorder were consistently impaired across all areas of cognitive (memory and thinking) ability measured. The comparison also suggested that declines in some cognitive areas might worsen with age.

Embryonic stem cell therapy show benefits in rebuilding damaged heart

Despite improvements in earlier diagnosis and treatment, cardiovascular disease is far and away the leading cause of death in the U.S. and the world.

Low-salt diets may increase CVD risk and death compared to average salt consumption

A large worldwide study has found that, contrary to popular thought, low-salt diets may not be beneficial and may actually increase the risk of cardiovascular disease (CVD) and death compared to average salt consumption.

Modification of surgery used to correct flatfoot deformity may reduce pain and improve outcomes

Virginia Commonwealth University physicians and engineers studying foot and ankle biomechanics have developed a modification to a procedure used to correct adult-acquired flatfoot deformity that may reduce the pressure and pain that often persists after surgery.

Read more News

› Verified 7 days ago


Orthopaedic Surgery Doctors in Provo, UT

Scott Delafield Evans, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N 500 W, Ste 207, Provo, UT 84604
Phone: 801-375-4263    Fax: 801-429-8085
Michael Callahan, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1055 N 500 W, Provo, UT 84604
Phone: 801-763-3885    Fax: 801-763-3887
Jeffrey M Wallentine, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N 500 W, Suite 121, Provo, UT 84604
Phone: 801-373-7350    Fax: 801-812-5401
Dr. Trevor Shelton, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1157 N 300 W, Provo, UT 84604
Phone: 801-357-1200    
Joshua Nelson Speirs, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1157 N 300 W Ste 302, Provo, UT 84604
Phone: 801-357-4470    Fax: 801-357-4473
Mitchell Williams Larsen, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N 500 W, Suite 121, Provo, UT 84064
Phone: 801-373-7350    Fax: 801-812-5401

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