Derek Dean Jackson, MD in Boise, ID - Medicare Family Practice

Derek Dean Jackson, MD is a medicare enrolled "Family Medicine" physician in Boise, Idaho. He went to University Of Washington School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Full Circle Health Inc and his current practice location is 777 N Raymond St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 367-6030.

Derek Dean Jackson is licensed to practice in Idaho (license number M-10857) 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 1225299357.

Contact Information

	Derek Dean Jackson, MD
	777 N Raymond St, Boise, ID 83704-9251
	(208) 367-6030
	(208) 322-7018

Map and Direction

Physician's Profile

Full Name	Derek Dean Jackson
Gender	Male
Speciality	Family Practice
Experience	16 Years
Location	777 N Raymond St, Boise, Idaho
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:

Derek Dean Jackson attended and graduated from University Of Washington School Of Medicine in 2008

NPI Data:

NPI Number: 1225299357
Provider Enumeration Date: 06/20/2008
Last Update Date: 08/04/2014

Medicare PECOS Information:

PECOS PAC ID: 3072781384
Enrollment ID: I20110712000341

Medical Identifiers

Medical identifiers for Derek Dean Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225299357	NPI	-	NPPES
1225299357	Medicaid	ID
808082200	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MR-0989 (Idaho)	Secondary
207Q00000X	Family Medicine	M-10857 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Full Circle Health Inc	6709986797	92

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. Derek Dean Jackson allows following entities to bill medicare on his behalf.

Entity Name	Full Circle Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841490075 PECOS PAC ID: 6709986797 Enrollment ID: O20070924000618

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. Derek Dean 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
Derek Dean Jackson, MD 777 N Raymond St, Boise, ID 83704-9251 Ph: (208) 367-6030	Derek Dean Jackson, MD 777 N Raymond St, Boise, ID 83704-9251 Ph: (208) 367-6030

Reviews and Comments

Family Medicine Doctors in Boise, ID

Dr. Maureen A Newman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-302-5480
Jessica A Evert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-7350
Tracy Adams, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500
Sarah A Hershman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217
Summer E Szumski, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217
Dr. Thornton E Bryan Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E Parkcenter Blvd, Boise, ID 83706 Phone: 208-381-6500 Fax: 208-381-6505
Irvin E Sackman Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 E Boise Ave, Boise, ID 83706 Phone: 208-345-4066 Fax: 208-345-4196

Derek Dean Jackson, MD - Medicare Family Practice in Boise, ID