Candace Lynn Jackson, MD - Medicare Internal Medicine in La Jolla, CA

Candace Lynn Jackson, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in La Jolla, California. Her current practice location is 9434 Medical Center Dr # Mc7411, La Jolla, California. You can reach out to her office (for appointments etc.) via phone at (858) 657-8530.

Candace Lynn Jackson is licensed to practice in New York (license number 326893) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861997298.

Contact Information

Candace Lynn Jackson, MD
9434 Medical Center Dr # Mc7411,
La Jolla, CA 92037-1337
(858) 657-8530
Not Available

Map and Direction




Physician's Profile

Full NameCandace Lynn Jackson
GenderFemale
SpecialityInternal Medicine - Cardiovascular Disease
Location9434 Medical Center Dr # Mc7411, La Jolla, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861997298
  • Provider Enumeration Date: 03/27/2018
  • Last Update Date: 03/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9537416433
  • Enrollment ID: I20240415000203

Medical Identifiers

Medical identifiers for Candace Lynn Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861997298NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 65863 (Minnesota)Secondary
207R00000XInternal Medicine 29157 (Minnesota)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease A173379 (California)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 326893 (New York)Primary

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. Candace Lynn Jackson allows following entities to bill medicare on her behalf.
Entity NameTrustees Of Columbia University In The City Of New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508266347
PECOS PAC ID: 8527972546
Enrollment ID: O20151201002613

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. Candace Lynn 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
Candace Lynn Jackson, MD
9434 Medical Center Dr # Mc7411,
La Jolla, CA 92037-1337

Ph: (858) 657-8530
Candace Lynn Jackson, MD
9434 Medical Center Dr # Mc7411,
La Jolla, CA 92037-1337

Ph: (858) 657-8530

Reviews and Comments


Internal Medicine Doctors in La Jolla, CA

Dr. John Sturdivant Andrews, MD
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 1223 Via Barranca, La Jolla, CA 92037
Phone: 858-775-1976    
Dr. Mark C Adrian, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 9850 Genesee Ave, Suite 355, La Jolla, CA 92037
Phone: 858-202-0011    
Dr. Erminia M. Guarneri, M.D.
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037
Phone: 858-554-3330    Fax: 858-784-5933
Dr. Eric Hong, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 9834 Genesee Ave, Suite 300, La Jolla, CA 92037
Phone: 858-824-2900    Fax: 858-824-2910
Katrina Deleon, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037
Phone: 858-554-6158    
Abhishek Gadre, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 9300 Campus Point Dr, La Jolla, CA 92037
Phone: 858-657-7118    
Mira Maria John, MD
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 9300 Campus Point Dr, La Jolla, CA 92037
Phone: 800-926-8273    

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.