Scott Taylor Jackson, MD - Medicare Orthopaedic Surgery in Provo, UT

Scott Taylor 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.

Scott Taylor Jackson is licensed to practice in Utah (license number 174144-1205) 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 1578666533.

Contact Information

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



Physician's Profile

Full NameScott Taylor 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: 1578666533
  • Provider Enumeration Date: 09/06/2006
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7214971324
  • Enrollment ID: I20050618000193

Medical Identifiers

Medical identifiers for Scott Taylor Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578666533NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 174144-1205 (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. Scott Taylor 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

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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. Scott Taylor 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
Scott Taylor Jackson, MD
1055 N 500 W, Attn: Credentialing,
Provo, UT 84604-3305

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

Ph: (801) 373-7350

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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    
Richard T Jackson, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1055 N 500 W, Suite 121, Provo, UT 84604
Phone: 801-373-7350    Fax: 801-812-5401
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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