Richard T Jackson, DPM in Fort Wayne, IN - Medicare Provider

Richard T Jackson, DPM is a medicare enrolled "Podiatrist" provider in Fort Wayne, Indiana. His current practice location is 7601 W Jefferson Blvd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 436-8686.

Richard T Jackson is licensed to practice in Indiana (license number 07000729A) 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 1407859424.

Contact Information

	Richard T Jackson, DPM
	7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133
	(260) 436-8686
	(260) 486-8585

Healthcare Provider's Profile

Full Name	Richard T Jackson
Gender	Male
Speciality
Experience	Years
Location	7601 W Jefferson Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Richard T Jackson attended and graduated from in

NPI Data:

NPI Number: 1407859424
Provider Enumeration Date: 05/23/2005
Last Update Date: 11/07/2016

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Richard T Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407859424	NPI	-	NPPES
100359040A	Medicaid	IN
480026551	Other		RAILROAD MEDICARE
00000089403	Other		ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	07000729A (Indiana)	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. 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 Address	Practice Location Address
Richard T Jackson, DPM Po Box 2526, Fort Wayne, IN 46801-2526 Ph: (260) 436-8686	Richard T Jackson, DPM 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 Ph: (260) 436-8686

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Podiatrist in Fort Wayne, IN

Lafayette Foot And Ankle Clinic Podiatrist Medicare: Medicare Enrolled Practice Location: 2700 Lafayette St Ste 230, Fort Wayne, IN 46806 Phone: 260-458-9953 Fax: 260-458-9238
Lafayette Foot & Ankle Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 2700 Lafayette St, Suite 100, Fort Wayne, IN 46806 Phone: 260-458-9953 Fax: 260-458-9238
Gage Manning Caudell, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 Fax: 260-436-8585
Dr. Dominick Detommaso, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 Fax: 260-436-8585
Dr. Jonathan Detommaso, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 Fax: 260-436-8585
Waynedale Foot Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6200 Bluffton Rd, Fort Wayne, IN 46809 Phone: 260-747-5572 Fax: 260-747-8392
Dr. David K Wysong, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 3012 E State Blvd, Fort Wayne, IN 46805 Phone: 260-471-6830 Fax: 260-471-6704

Richard T Jackson, DPM - Medicare Podiatrist in Fort Wayne, IN