J JACKSON, D.O.

Addiction Medicine (Internal Medicine) Physician · MESA, AZ

Individual Active Opted out of Medicare NPI 1942262399

Taxonomy & licensure

Specialty	Code	Primary	License	State
Addiction Medicine (Internal Medicine) Physician	207RA0401X	✓	2543	AZ
Physical Medicine & Rehabilitation Physician	208100000X		2543	AZ

Medicare eligibility

Part B: No
DME: Yes
Home health: No
Power mobility: Yes
Hospice: No

Opted out of Medicare (Pain Management), effective 2025-11-30 through 2027-11-30.

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See all Addiction Medicine (Internal Medicine) Physician providers in Arizona →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.