Dr Avery Michael Jackson Iii, MD is a medicare enrolled "Neurological Surgery" physician in Grand Blanc, Michigan. He went to Wayne State University School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Michigan Neurosurgical Institute, P.c and his current practice location is
9400 S Saginaw Rd Ste A, Grand Blanc, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 606-7200.
Dr Avery Michael Jackson Iii is licensed to practice in Michigan (license number AJ076974) 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 1851329197.
Physician's Profile
| Full Name | Dr Avery Michael Jackson Iii |
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| Gender | Male |
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| Speciality | Neurosurgery |
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| Experience | 30 Years |
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| Location | 9400 S Saginaw Rd Ste A, Grand Blanc, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Avery Michael Jackson Iii attended and graduated from Wayne State University School Of Medicine in 1994
NPI Data:
- NPI Number: 1851329197
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 07/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214820174
- Enrollment ID: I20040204000756
Medical Identifiers
Medical identifiers for Dr Avery Michael Jackson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851329197 | NPI | - | NPPES |
| 0993708 | Other | MI | HEALTHPLUS OF MICHIGAN |
| 4568263 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207T00000X | Neurological Surgery | AJ076974 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Michigan Neurosurgical Institute, P.c | 9931094802 | 3 |
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 Avery Michael Jackson Iii allows following entities to bill medicare on his behalf.
| Entity Name | Michigan Neurosurgical Institute, P.c |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336184571
PECOS PAC ID: 9931094802
Enrollment ID: O20040408001119 |
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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 Avery Michael Jackson Iii 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 |
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Dr Avery Michael Jackson Iii, MD
4620 Genesys Pkwy,
Grand Blanc, MI 48439-8067
Ph: (810) 606-7200 | Dr Avery Michael Jackson Iii, MD
9400 S Saginaw Rd Ste A,
Grand Blanc, MI 48439-9666
Ph: (810) 606-7200 |
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