Adam W Jackson, MD - Medicare Neurosurgery in Fargo, ND

Adam W Jackson, MD is a medicare enrolled "Neurological Surgery" physician in Fargo, North Dakota. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Sanford Medical Center Fargo, Sanford Health Of Northern Minnesota and his current practice location is 2301 25th St S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 417-6130.

Adam W Jackson is licensed to practice in North Dakota (license number 12888) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881801694.

Contact Information

Adam W Jackson, MD
2301 25th St S,
Fargo, ND 58103-6104
(701) 417-6130
Not Available

Map and Direction




Physician's Profile

Full NameAdam W Jackson
GenderMale
SpecialityNeurosurgery
Experience18 Years
Location2301 25th St S, Fargo, North Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Adam W Jackson graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1881801694
  • Provider Enumeration Date: 05/17/2007
  • Last Update Date: 08/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0244481042
  • Enrollment ID: I20130731000423

Medical Identifiers

Medical identifiers for Adam W Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881801694NPI-NPPES
18197MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery R-7901 (Iowa)Secondary
207T00000XNeurological Surgery 40454 (Iowa)Secondary
207T00000XNeurological Surgery 12888 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sanford Medical Center FargoFargo, NDHospital
Sanford Bemidji Medical CenterBemidji, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Medical Center Fargo84269678031085
Sanford Health Of Northern Minnesota5597725168284

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Adam W Jackson allows following entities to bill medicare on his behalf.
Entity NameSanford Clinic North
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942241351
PECOS PAC ID: 4284546151
Enrollment ID: O20031112000221
Entity NameSanford Medical Center Fargo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110331000495

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Adam W Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Adam W Jackson, MD
Po Box 5074,
Sioux Falls, SD 57117-5074

Ph: () -
Adam W Jackson, MD
2301 25th St S,
Fargo, ND 58103-6104

Ph: (701) 417-6130

Reviews and Comments


Neurological Surgery Doctors in Fargo, ND

Marcus F Keep, MD
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Practice Location: 700 1st Ave S, Fargo, ND 58103
Phone: 701-234-4036    
Dr. Behzad Sabit, MD
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Mickey G Syrquin, DO
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Phone: 701-364-8000    Fax: 701-364-8078
Tong Yang, MD, PHD
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Practice Location: 700 1st Ave S, Fargo, ND 58103
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Dr. Steven Jared Broadway, M.D.
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Phone: 701-356-7444    Fax: 701-478-0309
Pelagia E Kouloumberis, MD
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Practice Location: 5225 23rd Ave S, Fargo, ND 58104
Phone: 701-417-2575    
Dr. Eunkyung Michelle Bahn, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 3000 32nd Ave S, Fargo, ND 58103
Phone: 701-364-8000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.