Dr Brent Clarence Jackson, MD in Redlands, CA

Dr Brent Clarence Jackson, MD is a medicare enrolled "Surgery" physician in Redlands, California. His current practice location is 2 W Fern Ave, Redlands, California. You can reach out to his office (for appointments etc.) via phone at (909) 793-3311.

Dr Brent Clarence Jackson is licensed to practice in California (license number A64902) 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 1346229382.

Contact Information

	Dr Brent Clarence Jackson, MD
	2 W Fern Ave, Redlands, CA 92373-5916
	(909) 793-3311
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Brent Clarence Jackson
Gender	Male
Speciality	Surgery
Location	2 W Fern Ave, Redlands, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346229382
Provider Enumeration Date: 01/10/2006
Last Update Date: 06/17/2014

Medicare PECOS Information:

PECOS PAC ID: 2365332483
Enrollment ID: I20040319000981

Medical Identifiers

Medical identifiers for Dr Brent Clarence Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346229382	NPI	-	NPPES
00A649020	Other	CA	BLUE SHIELD OF CA
00A649020	Medicaid	CA
113712291	Other		BLUE CROSS OF CA
113712291 92123 0000	Other		WPS TRICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	A64902 (California)	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 Brent Clarence Jackson allows following entities to bill medicare on his behalf.

Entity Name	American Current Care Of California A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750573622 PECOS PAC ID: 5799854303 Enrollment ID: O20080522000420

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 Brent Clarence 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 Brent Clarence Jackson, MD Po Box 10069, San Bernardino, CA 92423-0069 Ph: (909) 335-4188	Dr Brent Clarence Jackson, MD 2 W Fern Ave, Redlands, CA 92373-5916 Ph: (909) 793-3311

Reviews and Comments

Surgery Doctors in Redlands, CA

Julie L Jones, MD, RDN Surgery Medicare: Not Enrolled in Medicare Practice Location: 1340 Monterey St, Redlands, CA 92373 Phone: 617-504-8606
Dr. Bradley Basinger, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-793-3311 Fax: 909-796-4158
Prince C Esiobu, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 255 Terracina Blvd Ste 104b, Redlands, CA 92373 Phone: 323-788-2794
Dr. Raed Fathi Manasrah, M.D., M.P.H. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-793-3311
Esmond Gee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 245 Terracina Blvd Ste 211b, Redlands, CA 92373 Phone: 909-307-0900 Fax: 909-307-0988
Dr. David Burnham, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 245 Terracina Blvd Ste 202, Redlands, CA 92373 Phone: 909-793-3311
Dr. Joon Ho Lee, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 245 Terracina Blvd, Redlands, CA 92373 Phone: 909-793-3311

Dr Brent Clarence Jackson, MD - Medicare Surgery in Redlands, CA