Collin Patrick Jackson, MD - Medicare Student in an Organized Health Care Education/Training Program in Kalamazoo, MI

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Collin Patrick Jackson, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Kalamazoo, Michigan. His current practice location is 1000 Oakland Dr, Kalamazoo, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 337-4400.

Collin Patrick Jackson is licensed to practice in Michigan (license number 4301098470) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700179272.

Contact Information

Collin Patrick Jackson, MD
1000 Oakland Dr,
Kalamazoo, MI 49008-1282
(269) 337-4400
Not Available

Map and Direction




Physician's Profile

Full NameCollin Patrick Jackson
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location1000 Oakland Dr, Kalamazoo, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700179272
  • Provider Enumeration Date: 05/17/2011
  • Last Update Date: 05/17/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 9830318401
  • Enrollment ID: I20140912001105

Medical Identifiers

Medical identifiers for Collin Patrick Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700179272NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 4301098470 (Michigan)Secondary
390200000XStudent In An Organized Health Care Education/training Program 4301098470 (Michigan)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. Collin Patrick Jackson allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040220000099

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. Collin Patrick 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
Collin Patrick Jackson, MD
1000 Oakland Dr,
Kalamazoo, MI 49008-1282

Ph: (269) 337-4400		Collin Patrick Jackson, MD
1000 Oakland Dr,
Kalamazoo, MI 49008-1282

Ph: (269) 337-4400

Reviews and Comments



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.