Chad Edwin Jackson, MS, ATC - Preventive Medicine in Fort Myers, FL

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Chad Edwin Jackson, MS, ATC is a Preventive Medicine - Sports Medicine physician based in Fort Myers, Florida. Chad Edwin Jackson is licensed to practice in Florida (license number AL2986) and his current practice location is 14110 Six Mile Cypress Pkwy, Fort Myers, Florida. He can be reached at his office (for appointments etc.) via phone at (239) 479-6411.

NPI number for Chad Edwin Jackson is 1518484245 and his current mailing address is 618 Se 3rd St, Cape Coral, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518484245.

Contact Information

Chad Edwin Jackson, MS, ATC
14110 Six Mile Cypress Pkwy,
Fort Myers, FL 33912-4314
(239) 479-6411
(239) 768-2032

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Physician's Profile

Full NameChad Edwin Jackson
GenderMale
SpecialityPreventive Medicine - Sports Medicine
Location14110 Six Mile Cypress Pkwy, Fort Myers, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1518484245
  • Provider Enumeration Date: 08/24/2017
  • Last Update Date: 08/24/2017

Medical Identifiers

Medical identifiers for Chad Edwin Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518484245NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083S0010XPreventive Medicine - Sports Medicine AL2986 (Florida)Primary

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. Chad Edwin Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Chad Edwin Jackson, MS, ATC
618 Se 3rd St,
Cape Coral, FL 33990-1109

Ph: (239) 292-7669		Chad Edwin Jackson, MS, ATC
14110 Six Mile Cypress Pkwy,
Fort Myers, FL 33912-4314

Ph: (239) 479-6411

Reviews and Comments


Preventive Medicine Doctors in Fort Myers, FL

Dr. Judith A Hartner, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 3920 Michigan Ave, Fort Myers, FL 33916
Phone: 239-332-9510    Fax: 239-332-9656
Lisa Chow, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 13778 Plantation Rd, Fort Myers, FL 33912
Phone: 239-343-0454    

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).

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