Don-andre Jackson, in Derby, CT - Medicare Internal Medicine

Don-andre Jackson, is a medicare enrolled "Internal Medicine - Rheumatology" physician in Derby, Connecticut. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Griffin Faculty Physicians Inc and his current practice location is 130 Division St, Derby, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 732-1330.

Don-andre Jackson is licensed to practice in Connecticut (license number 67231) 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 1508250952.

Contact Information

	Don-andre Jackson,
	130 Division St, Derby, CT 06418-1326
	(203) 732-1330
	(203) 732-1332

Map and Direction

Physician's Profile

Full Name	Don-andre Jackson
Gender	Male
Speciality	Internal Medicine
Experience	9 Years
Location	130 Division St, Derby, Connecticut
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:

Don-andre Jackson graduated from medical school in 2015

NPI Data:

NPI Number: 1508250952
Provider Enumeration Date: 03/24/2015
Last Update Date: 03/16/2021

Medicare PECOS Information:

PECOS PAC ID: 5395080717
Enrollment ID: I20210324001182

Medical Identifiers

Medical identifiers for Don-andre Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508250952	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RR0500X	Internal Medicine - Rheumatology	67231 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Griffin Hospital	Derby, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Griffin Faculty Physicians Inc	7618871997	105

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. Don-andre Jackson allows following entities to bill medicare on his behalf.

Entity Name	Griffin Faculty Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598755605 PECOS PAC ID: 7618871997 Enrollment ID: O20031120000158

Entity Name	Hartford Healthcare Medical Group Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441

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. Don-andre 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
Don-andre Jackson, 67 Maple Ave, Derby, CT 06418-1328 Ph: (203) 732-1256	Don-andre Jackson, 130 Division St, Derby, CT 06418-1326 Ph: (203) 732-1330

Reviews and Comments

Internal Medicine Doctors in Derby, CT

Genevieve Cecile Kela, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7327
Dr. Gerald George Fette, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332
Dr. Howard Quentzel, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7439 Fax: 203-732-1425
Dr. Mukesh Kumar, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332
Earl Lewin Baker, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 130 Division Street, Derby, CT 06418 Phone: 203-735-7421
Aartee Deshpande, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330
Mark S Grogan, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 130 Division Street, Derby, CT 06418 Phone: 203-732-7455 Fax: 203-735-5507

Don-andre Jackson, - Medicare Internal Medicine in Derby, CT