Dr Amanda Kay Jackson, MD in Johnson City, TN

Dr Amanda Kay Jackson, MD is a medicare enrolled "Emergency Medicine" physician in Johnson City, Tennessee. Her current practice location is 400 N State Of Franklin Rd, Pediatric Emergency Department, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 431-5339.

Dr Amanda Kay Jackson is licensed to practice in Tennessee (license number 51518) 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 1770875841.

Contact Information

	Dr Amanda Kay Jackson, MD
	400 N State Of Franklin Rd, Pediatric Emergency Department, Johnson City, TN 37604-6035
	(423) 431-5339
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Amanda Kay Jackson
Gender	Female
Speciality	Emergency Medicine
Location	400 N State Of Franklin Rd, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770875841
Provider Enumeration Date: 05/09/2011
Last Update Date: 06/01/2023

Medicare PECOS Information:

PECOS PAC ID: 2365662913
Enrollment ID: I20141001002673

Medical Identifiers

Medical identifiers for Dr Amanda Kay Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770875841	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD0000051518 (Tennessee)	Secondary
208000000X	Pediatrics	01075191 (Indiana)	Secondary
207P00000X	Emergency Medicine	51518 (Tennessee)	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. Dr Amanda Kay Jackson allows following entities to bill medicare on her behalf.

Entity Name	Appalachian Emergency Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689985863 PECOS PAC ID: 6901099639 Enrollment ID: O20101026000515

Entity Name	Tri-cities Regional Emergency Physicians, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399

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. Dr Amanda Kay 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
Dr Amanda Kay Jackson, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698	Dr Amanda Kay Jackson, MD 400 N State Of Franklin Rd, Pediatric Emergency Department, Johnson City, TN 37604-6035 Ph: (423) 431-5339

Reviews and Comments

Emergency Medicine Doctors in Johnson City, TN

Tony Yost, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 378 Marketplace Dr, Suite 5, Johnson City, TN 37604 Phone: 423-282-0751 Fax: 423-282-1577
Dr. Andrew Lee Gibson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-431-6111 Fax: 423-431-2910
Clarence E Goulding Iii, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Med Tech Pkwy, Suite 108, Johnson City, TN 37604 Phone: 423-915-5033 Fax: 423-952-3777
Mark J Harrell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 378 Marketplace Dr, Suite 5, Johnson City, TN 37604 Phone: 423-282-0751 Fax: 423-282-1577
Dr. Patricia L Chambers, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320
Dr. Tracy Martin Reece, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 Toll Branch Rd, Johnson City, TN 37601 Phone: 423-773-9721 Fax: 423-743-2884
Dr. Andrew S Pierce, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 408 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-431-1810 Fax: 423-431-1811

Dr Amanda Kay Jackson, MD - Medicare Emergency Medicine in Johnson City, TN