Wallace J Jackmon is a Sioux Falls, South Dakota based psychologist with 17 years of experience in Clinical Psychology. He completed his graduation in 2007. He is also affiliated with hospitals like He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Wallace J Jackmon is 477 for Clinical Psychology in South Dakota. His current practice location is 4400 W 69th St, Ste 1500, Sioux Falls. Patients can reach him at 605-322-5700 or can fax him at 605-322-5704. Wallace J Jackmon is PHD in Clinical Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1427020957. Wallace J Jackmon is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). His main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that he can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Wallace J Jackmon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Wallace J Jackmon
Specialization:
Clinical Psychology
Gender:
Male
Credentials:
PHD
Experience:
17+ years
Medical School Attended:
Other
Graduation Year:
2007
Accepts Medicare Assignment:
Yes
Practice Address:
4400 W 69th St, Ste 1500, Sioux Falls, South Dakota, 57108-8170
Phone:
605-322-5700
Fax:
605-322-5704
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 are as mentioned below.
PAC ID:
6709896467
Enrollment ID:
I20090424000148
NPI Number:
1427020957
NPI Enumeration Date:
07 Feb, 2006
NPI Last Update On:
11 Oct, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wallace J Jackmon are as mentioned below.
License Number
Specialization
State
Status
477
Clinical Psychology
South Dakota
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(430016)
Sioux falls, SD
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Wallace J Jackmon is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Avera Mckennan (0345157103)
776
Other Medical Identifiers:
Other legacy medical identifiers associated with Wallace J Jackmon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
12200
Medicaid
North Dakota
46022474352
Medicaid
Nebraska
854000
Other
South Dakota
ARAZ/ AMERICA'S PPO
944611700
Medicaid
Minnesota
0040537
Other
South Dakota
BLUE CROSS
140M8JA
Other
Minnesota
CC SYSTEMS/ BLUE PLUS
142415
Other
Minnesota
UCARE
412991020844
Other
South Dakota
PREFERRED ONE
6552790
Medicaid
South Dakota
6570753
Medicaid
South Dakota
800013808
Other
South Dakota
RR MEDICARE
HP37115
Other
South Dakota
HEALTHPARTNERS
15096
Other
South Dakota
MIDLANDS CHOICE
20814
Other
South Dakota
SANFORD HEALTH PLAN
3989442
Medicaid
Iowa
57108C003
Other
South Dakota
WPS TRICARE
9205351
Other
South Dakota
DAKOTACARE
040121002
Other
Minnesota
PRIMEWEST
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Wallace J Jackmon Po Box 86370, Sioux Falls, South Dakota
Zip:
57118-6370
Phone Number:
605-322-7510
Fax Number:
605-322-6475
Patients can reach Wallace J Jackmon at 4400 W 69th St, Ste 1500, Sioux Falls, South Dakota or can call to book an appointment on 605-322-5700.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.