Dr David Spencer Jackson, MD - Medicare Cardiovascular Disease (cardiology) in Columbia, MD

Dr David Spencer Jackson, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Columbia, Maryland. He went to Icahn School Of Medicine At Mount Sinai and graduated in 1980 and has 44 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Maryland Primary Care Physicians, Llc and his current practice location is 11055 Little Patuxent Pkwy, Suite 205, Columbia, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 740-0789.

Dr David Spencer Jackson is licensed to practice in Maryland (license number D35217) 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 1891796900.

Contact Information

Dr David Spencer Jackson, MD
11055 Little Patuxent Pkwy, Suite 205,
Columbia, MD 21044-2896
(410) 740-0789
(410) 740-7024

Map and Direction




Physician's Profile

Full NameDr David Spencer Jackson
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience44 Years
Location11055 Little Patuxent Pkwy, Columbia, Maryland
Accepts Medicare AssignmentsYes. 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 David Spencer Jackson attended and graduated from Icahn School Of Medicine At Mount Sinai in 1980
  NPI Data:
  • NPI Number: 1891796900
  • Provider Enumeration Date: 08/10/2005
  • Last Update Date: 08/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7810020724
  • Enrollment ID: I20100729000143

Medical Identifiers

Medical identifiers for Dr David Spencer Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891796900NPI-NPPES
398140-03OtherMDCAREFIRST MD RENDERING
4238639OtherMDAETNA FEE FOR SERVICE
P528953OtherMDCAREFIRST MPOS
0477972OtherMDAETNA CAPITATED
478471500MedicaidMD
060041579OtherMDRR MEDICARE
318934OtherMDMAMSI SPECIALIST
3509-0006OtherMDCAREFIRST BLUECHOICE
018410OtherMDJHHC PROVIDER NUMBER
0149212OtherMDCIGNA PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease D35217 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Howard County General HospitalColumbia, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Maryland Primary Care Physicians, Llc872998183291

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 David Spencer Jackson allows following entities to bill medicare on his behalf.
Entity NameMaryland Primary Care Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083667067
PECOS PAC ID: 8729981832
Enrollment ID: O20040128000134

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 David Spencer 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 David Spencer Jackson, MD
7580 Buckingham Blvd Ste 220,
Hanover, MD 21076-3210

Ph: (410) 729-5100
Dr David Spencer Jackson, MD
11055 Little Patuxent Pkwy, Suite 205,
Columbia, MD 21044-2896

Ph: (410) 740-0789

Reviews and Comments


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Angela M. Kopack, MD
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Practice Location: 11055 Little Patuxent Pkwy, Suite 209, Columbia, MD 21044
Phone: 410-884-1311    Fax: 410-884-6033

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.