Bradley A Jackson, MD in Fullerton, CA - Medicare Diagnostic Radiology

Bradley A Jackson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fullerton, California. He went to University Of Southern California Keck School Of Medicine and graduated in 2006 and has 19 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice St Jude Radiology Medical Group Inc and his current practice location is 101 E Valencia Mesa Dr, Fullerton, California. You can reach out to his office (for appointments etc.) via phone at (714) 992-3978.

Bradley A Jackson is licensed to practice in California (license number A115326) 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 1124206487.

Contact Information

	Bradley A Jackson, MD
	101 E Valencia Mesa Dr, Fullerton, CA 92835-3809
	(714) 992-3978
	Not Available

Map and Direction

Physician's Profile

Full Name	Bradley A Jackson
Gender	Male
Speciality	Diagnostic Radiology
Experience	19 Years
Location	101 E Valencia Mesa Dr, Fullerton, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bradley A Jackson attended and graduated from University Of Southern California Keck School Of Medicine in 2006

NPI Data:

NPI Number: 1124206487
Provider Enumeration Date: 02/07/2008
Last Update Date: 11/01/2024

Medicare PECOS Information:

PECOS PAC ID: 1658527544
Enrollment ID: I20120808000709

Medical Identifiers

Medical identifiers for Bradley A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124206487	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	A115326 (California)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	A115326 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Jude Medical Center	Fullerton, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Jude Radiology Medical Group Inc	7214838002	50

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. Bradley A Jackson allows following entities to bill medicare on his behalf.

Entity Name	St Jude Radiology Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649349705 PECOS PAC ID: 7214838002 Enrollment ID: O20040115000501

Entity Name	North Oc Imaging Jv, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376209940 PECOS PAC ID: 6204229529 Enrollment ID: O20220401001471

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. Bradley A 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 Address	Practice Location Address
Bradley A Jackson, MD 300 Pasteur Dr, Room H3630, Mc: 5642, Stanford University Med Ctr, Dept. Of Int. Radiology, Stanford, CA 94305-5642 Ph: (626) 840-4287	Bradley A Jackson, MD 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 Ph: (714) 992-3978

Reviews and Comments

Radiology Doctors in Fullerton, CA

Maren Radcliffe Ross Sowerby, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978
Hao Quy Ngo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978
Phillip Unger, MD Radiology Medicare: Medicare Enrolled Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-992-3978
Alan M Cohen, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 515 E Commonwealth Ave, Fullerton, CA 92832 Phone: 714-871-7118 Fax: 714-871-3372
Edgar Carmen Stambuk, MD Radiology Medicare: Medicare Enrolled Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978
Samuel Lowry Maxwell Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978

Bradley A Jackson, MD - Medicare Diagnostic Radiology in Fullerton, CA