Jackson Medical Supply Inc
Durable Medical Equipment & Medical Supplies
480 Redwood St, # 44, Vallejo
California, 94590-2958
707-644-4170 707-644-4163
Jackson Medical Supply Inc is an authorized DME supplier for medicare equipment and products.Jackson Medical Supply Inc is a Durable Medical Equipment & Medical Supplies in Vallejo, California. This organization is also known as sub part of Jackson Medical Supply Inc. It is located at 480 Redwood St, # 44, Vallejo and it's customer support contact number is 707-644-4170. The authorized person of Jackson Medical Supply Inc is Ms. Wendy Ann Wigmore who is Owner, Cfo of this DME and her contact number is 707-446-7014. Active license number of Jackson Medical Supply Inc is 53238 for Durable Medical Equipment & Medical Supplies in California. Jackson Medical Supply Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Jackson Medical Supply Inc 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 Medical Supply Inc 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 Medical Supply Inc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 480 Redwood St, # 44, Vallejo, California, 94590-2958 |
| Phone: | 707-644-4170 |
| Fax: | 707-644-4163 |
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: | Ms. Wendy Ann Wigmore |
| Position: | Owner, Cfo |
| Contact Number: | 707-446-7014 |
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: | 1578873592 |
| Parent Organization: | Jackson Medical Supply Inc |
| NPI Enumeration Date: | 08 Oct, 2010 |
| NPI Last Update On: | 08 Oct, 2010 |
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 Medical Supply Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 53238 | California | Primary | |
Medicare Enrollment:
Jackson Medical Supply Inc 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 |
| 4880884600 | O20110519000437 | Jackson Medical Supply Inc | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Products Available:
Jackson Medical Supply Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Nebulizer Equipment & Supplies | • Ostomy Supplies |
| • Walkers | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 480 Redwood St, # 44 Vallejo, California |
| Zip: | 94590-2958 |
| Phone Number: | 707-644-4170 |
| Fax Number: | 707-644-4163 |
Patients can reach Jackson Medical Supply Inc at
480 Redwood St, # 44, Vallejo, California or can
call on customer care at 707-644-4170.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.