Dr Carl E Jackson, MD is a medicare enrolled "Surgery" physician in Highland Heights, Ohio. He went to Howard University College Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice River Valley Physicians Llc, Urgent Specialty Associates Of Colorado, Pllc and his current practice location is
386 Medway Rd, Highland Heights, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 953-1898.
Dr Carl E Jackson is licensed to practice in Ohio (license number 35057489) 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 1831208768.
Physician's Profile
Full Name | Dr Carl E Jackson |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 37 Years |
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Location | 386 Medway Rd, Highland Heights, Ohio |
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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. |
Medical Education and Training:
- Dr Carl E Jackson attended and graduated from Howard University College Of Medicine in 1987
NPI Data:
- NPI Number: 1831208768
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 05/02/2017
Medicare PECOS Information:
- PECOS PAC ID: 4082713631
- Enrollment ID: I20070621000577
Medical Identifiers
Medical identifiers for Dr Carl E Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831208768 | NPI | - | NPPES |
0881247 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 35057489 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
River Valley Physicians Llc | 3971506932 | 36 |
Urgent Specialty Associates Of Colorado, Pllc | 4981081973 | 19 |
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 Carl E Jackson allows following entities to bill medicare on his behalf.
Entity Name | Alliance Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
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Entity Name | Promedica Central Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
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Entity Name | River Valley Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891756870 PECOS PAC ID: 3971506932 Enrollment ID: O20060810000601 |
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Entity Name | Special Hands Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235474347 PECOS PAC ID: 1153576400 Enrollment ID: O20130313000034 |
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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 Carl E 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 Carl E Jackson, MD 386 Medway Rd, Highland Heights, OH 44143-3734 Ph: (440) 953-1898 | Dr Carl E Jackson, MD 386 Medway Rd, Highland Heights, OH 44143-3734 Ph: (440) 953-1898 |
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