Richard T Jackson is a Fort Wayne, Indiana based male podiatrist with 34 years of experience in Podiatry. He completed his graduation from Des Moines University Of Osteopathic Medicine And Health Sciences in 1990. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Richard T Jackson for Podiatry is 07000729A in Indiana. Richard T Jackson is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Richard T Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
D.P.M.
Experience:
34+ years
Medical School Attended:
Des Moines University Of Osteopathic Medicine And Health Sciences
Graduation Year:
1990
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
7601 W Jefferson Blvd, Fort Wayne, Indiana, 46804-4133
Phone:
260-436-8686
Fax:
260-486-8585
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7517001381
Enrollment ID:
I20100217000163
NPI Number:
1407859424
NPI Enumeration Date:
23 May, 2005
NPI Last Update On:
07 Nov, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Richard T Jackson are as mentioned below.
License Number
Specialization
State
Status
07000729A
Podiatry
Indiana
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Richard T Jackson is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Fort Wayne Orthopaedics, Llc (7618965286)
56
Other Medical Identifiers:
Other legacy medical identifiers associated with Richard T Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100359040A
Medicaid
Indiana
480026551
Other
RAILROAD MEDICARE
00000089403
Other
ANTHEM
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 2526, Fort Wayne, Indiana
Zip:
46801-2526
Phone Number:
260-436-8686
Fax Number:
260-436-8585
Patients can reach Richard T Jackson at 7601 W Jefferson Blvd, Fort Wayne, Indiana or can call to book an appointment on 260-436-8686. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.