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IndividualActiveMedicare EnrolledCan Order/Refer

Miss Patricia Renee Jackson

Dentist

NPI: 1023377967Chinle, Arizona, 86503(928) 674-7166Female

About Miss Patricia Renee Jackson

Miss Patricia Renee Jackson is a female healthcare professional specializing in Dentist, registered under National Provider Identifier (NPI) number 1023377967. Their primary practice is located at 191 HIGHWAY AND HOSPITAL ROAD, Chinle, Arizona 86503.

Patients can reach the office at (928) 674-7166. Miss Patricia Renee Jackson is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Miss Patricia Renee Jackson received $25 in Medicare payments in 2018 across 1 claims.

Miss Patricia Renee Jackson has been NPI-registered since 2012.

Key Metrics

Medicare Payments

$25.00

Year 2018

Payment Count

1

Year 2018

Rx Claims

25

$120.41

Doctor Details

Identity & Credentials

NPI Number
1023377967
Entity Type
Individual
First Name
Patricia
Last Name
Jackson
Gender
Female
Sole Proprietor
No
Status
active

Primary Practice Location

Address
191 HIGHWAY AND HOSPITAL ROAD
City
Chinle
State
Arizona
ZIP
86503
Country
United States
Phone
(928) 674-7166
Fax
(928) 674-7705

Specialty & Taxonomy

Primary Specialty
Dentist
Classification
Dentist
Taxonomy Code
122300000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
PO DRAWER PH
City
CHINLE
State
AZ
ZIP
86503

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Miss Patricia Renee Jackson's NPI number?
Miss Patricia Renee Jackson's National Provider Identifier (NPI) is 1023377967. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Miss Patricia Renee Jackson specialize in?
Miss Patricia Renee Jackson specializes in Dentist.
Where is Miss Patricia Renee Jackson located?
Miss Patricia Renee Jackson practices at 191 HIGHWAY AND HOSPITAL ROAD, Chinle, Arizona 86503. You can reach them by phone at (928) 674-7166.
Does Miss Patricia Renee Jackson accept Medicare?
Yes, Miss Patricia Renee Jackson is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Miss Patricia Renee Jackson offer telehealth or virtual visits?
Miss Patricia Renee Jackson does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Miss Patricia Renee Jackson is 1023377967.