Dr Cody Ronald Jackson, MD in San Diego, CA - Medicare Preventive Medicine

Dr Cody Ronald Jackson, MD is a medicare enrolled "General Practice" physician in San Diego, California. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 2009 and has 15 years of diverse experience with area of expertise as Preventive Medicine. He is a member of the group practice Monica Perlman Md Inc and his current practice location is 3900 5th Ave Ste 110, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 554-1212.

Dr Cody Ronald Jackson is licensed to practice in California (license number A162265) 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 1770715146.

Contact Information

	Dr Cody Ronald Jackson, MD
	3900 5th Ave Ste 110, San Diego, CA 92103-3122
	(858) 554-1212
	(858) 795-1195

Map and Direction

Physician's Profile

Full Name	Dr Cody Ronald Jackson
Gender	Male
Speciality	Preventive Medicine
Experience	15 Years
Location	3900 5th Ave Ste 110, San Diego, California
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 Cody Ronald Jackson attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 2009

NPI Data:

NPI Number: 1770715146
Provider Enumeration Date: 08/18/2009
Last Update Date: 07/05/2022

Medicare PECOS Information:

PECOS PAC ID: 0345506978
Enrollment ID: I20211216002632

Medical Identifiers

Medical identifiers for Dr Cody Ronald Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770715146	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083X0100X	Preventive Medicine - Occupational Medicine	A162265 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208D00000X	General Practice	A162265 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Uc San Diego Health Hillcrest - Hillcrest Med Ctr	San diego, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Monica Perlman Md Inc	8820035884	195

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 Cody Ronald Jackson allows following entities to bill medicare on his behalf.

Entity Name	Monica Perlman Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134309305 PECOS PAC ID: 8820035884 Enrollment ID: O20050411001333

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 Cody Ronald 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 Cody Ronald Jackson, MD 9850 Genesee Ave, Ste 320, La Jolla, CA 92037-1208 Ph: (858) 554-1212	Dr Cody Ronald Jackson, MD 3900 5th Ave Ste 110, San Diego, CA 92103-3122 Ph: (858) 554-1212

Reviews and Comments

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Dr Cody Ronald Jackson, MD - Medicare Preventive Medicine in San Diego, CA