RICHARD T JACKSON (D.P.M.) – Podiatrist, NPI 1407859424
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Provider Addresses for RICHARD T JACKSON (D.P.M.)
2526, Sheridan Road, Sunnymede Woods, Fort Wayne, Allen County, Indiana, 46803, United States of America
FORT WAYNE, IN 468012526
Phone: (260) 436-8686
Fax: (260) 436-8585
Type: Mailing
7601, West Jefferson Boulevard, Times Corner, Fort Wayne, Allen County, Indiana, 46804, United States of America
FORT WAYNE, IN 468044133
Phone: (260) 436-8686
Fax: (260) 486-8585
Type: Location
NPPES updates history
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Insurance plans in this area (ZIP 46801)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | IN | 73630 | X-ray of foot, minimum of 3 views | 94 | 76 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Orthopedic Surgery | IN | |
| Nurse Practitioner | IN | |
| Orthopedic Surgery | IN | |
| Physician Assistant | IN | |
| - | IN | |
| Physician Assistant | IN | |
| Orthopedic Surgery, Sports Medicine | IN | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN |
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