Jackson Clinic Pa
Durable Medical Equipment & Medical Supplies
145 Innovation Dr, Jackson
Tennessee, 38305-3019
731-422-0213 Jackson Clinic Pa is a Durable Medical Equipment & Medical Supplies in Jackson, Tennessee. This organization is also known as sub part of Jackson Clinic Pa. It is located at 145 Innovation Dr, Jackson and it's customer support contact number is 731-422-0213. The authorized person of Jackson Clinic Pa is Mark Allen who is C.e.o. of this DME and his contact number is 731-422-0330. Jackson Clinic Pa accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Jackson Clinic Pa is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Jackson Clinic Pa type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Jackson Clinic Pa |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 145 Innovation Dr, Jackson,
Tennessee, 38305-3019 |
| Phone: | 731-422-0213 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mark Allen |
| Position: | C.e.o. |
| Contact Number: | 731-422-0330 |
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 of given supplier are as mentioned below.
| NPI Number: | 1689443038 |
| Parent Organization: | Jackson Clinic Pa |
| NPI Enumeration Date: | 27 Dec, 2023 |
| NPI Last Update On: | 27 Dec, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jackson Clinic Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Medicare Enrollment:
Jackson Clinic Pa is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2668376872 | O20241219003541 | Jackson Clinic Pa | DME SUPPLIER - PHYSICIAN - GENERAL PRACTICE |
Products Available:
Jackson Clinic Pa has following products available for sale under medicare.
| Products: |
|---|
| • Canes & Crutches | • Diabetic Shoes & Inserts: Prefabricated |
| • Enteral Equipment And/or Supplies | • Orthoses: Custom Fabricated |
| • Orthoses: Off-the-shelf | • Surgical Dressings |
| • Urological Supplies | |
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 400,
Jackson, Tennessee |
| Zip: | 38302-0400 |
| Phone Number: | 731-423-8697 |
| Fax Number: | 731-425-5783 |
Patients can reach Jackson Clinic Pa at
145 Innovation Dr, Jackson, Tennessee or can
call on customer care at 731-422-0213.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.