Dr Darryl Brett Jackson, MD - Medicare Internal Medicine in Philadelphia, PA

Dr Darryl Brett Jackson, MD is a medicare enrolled "Internal Medicine" physician in Philadelphia, Pennsylvania. His current practice location is 5801 Spruce St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 755-2594.

Dr Darryl Brett Jackson is licensed to practice in Pennsylvania (license number MD044865L) 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 1811041197.

Contact Information

Dr Darryl Brett Jackson, MD
5801 Spruce St,
Philadelphia, PA 19139-3833
(610) 755-2594
Not Available

Map and Direction




Physician's Profile

Full NameDr Darryl Brett Jackson
GenderMale
SpecialityInternal Medicine
Location5801 Spruce St, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811041197
  • Provider Enumeration Date: 01/23/2007
  • Last Update Date: 10/19/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 9537342381
  • Enrollment ID: I20110331000736

Medical Identifiers

Medical identifiers for Dr Darryl Brett Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811041197NPI-NPPES
0012855500001MedicaidPA
00128550001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD044865L (Pennsylvania)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 Darryl Brett Jackson allows following entities to bill medicare on his behalf.
Entity NameTower Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609291350
PECOS PAC ID: 7618889213
Enrollment ID: O20040311000072
Entity NameDepartment Of Military Affairs Commonwealth Of Pennsylvania
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578672796
PECOS PAC ID: 1557320348
Enrollment ID: O20041007000372
Entity NamePromedica Senior Care Medical Services I Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326633017
PECOS PAC ID: 0244619112
Enrollment ID: O20220714000208

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 Darryl Brett 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 AddressPractice Location Address
Dr Darryl Brett Jackson, MD
5801 Spruce St,
Philadelphia, PA 19139-3833

Ph: (610) 755-2594
Dr Darryl Brett Jackson, MD
5801 Spruce St,
Philadelphia, PA 19139-3833

Ph: (610) 755-2594

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.