Question 1

What type of a medical provider is Patricia Renee Jackson?

Accepted Answer

Patricia Renee Jackson is a Dentist.

Question 2

Where does Patricia Renee Jackson practice medicine?

Accepted Answer

Patricia Renee Jackson has the following practice address:191 HIGHWAY AND HOSPITAL ROAD, CHINLE, AZ 86503

Question 3

Does this provider have a license number?

Accepted Answer

Patricia Renee Jackson has the following license number: License Number 30.023852 issued in Ohio.

Question 4

Does Patricia Renee Jackson accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Patricia Renee Jackson have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Patricia Renee Jackson a member of any Medical Groups?

Accepted Answer

Patricia Renee Jackson is not affiliated with any medical groups.

Question 7

Does Patricia Renee Jackson participate in PECOS?

Accepted Answer

Yes, Patricia Renee Jackson participates in PECOS.

Question 8

What phone number can I call to contact Patricia Renee Jackson?

Accepted Answer

You can call the following number: (928)-674-7166

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Patricia Renee Jackson.

Question 10

Is Patricia Renee Jackson  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 12 years ago (10/8/2013).

Participates in PECOS:	YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	-

Patricia Renee Jackson

Overview