Dr Deidrya Antoinette Elizabeth Jackson, MD MPH in Boston, MA

Dr Deidrya Antoinette Elizabeth Jackson, MD MPH is a medicare enrolled "Ophthalmology - Glaucoma Specialist" physician in Boston, Massachusetts. Her current practice location is 800 Washington St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 636-5000.

Dr Deidrya Antoinette Elizabeth Jackson is licensed to practice in Massachusetts (license number 278459) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649658931.

Contact Information

	Dr Deidrya Antoinette Elizabeth Jackson, MD MPH
	800 Washington St, Boston, MA 02111-1552
	(617) 636-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Deidrya Antoinette Elizabeth Jackson
Gender	Female
Speciality	Ophthalmology - Glaucoma Specialist
Location	800 Washington St, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649658931
Provider Enumeration Date: 05/07/2015
Last Update Date: 05/21/2019

Medicare PECOS Information:

PECOS PAC ID: 9436439031
Enrollment ID: I20190605000404

Medical Identifiers

Medical identifiers for Dr Deidrya Antoinette Elizabeth Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649658931	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207WX0009X	Ophthalmology - Glaucoma Specialist	278459 (Massachusetts)	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 Deidrya Antoinette Elizabeth Jackson allows following entities to bill medicare on her behalf.

Entity Name	Pratt Ophthalmology Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083660534 PECOS PAC ID: 8628960218 Enrollment ID: O20040329000101

Entity Name	Eye Physicians Of Northampton Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932160504 PECOS PAC ID: 1052343951 Enrollment ID: O20050831000229

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 Deidrya Antoinette Elizabeth 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 Deidrya Antoinette Elizabeth Jackson, MD MPH 800 Washington St, Boston, MA 02111-1552 Ph: (617) 636-5000	Dr Deidrya Antoinette Elizabeth Jackson, MD MPH 800 Washington St, Boston, MA 02111-1552 Ph: (617) 636-5000

Reviews and Comments

Ophthalmology Doctors in Boston, MA

Dr. Maan Sulaiman A Alkharashi, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Fegan 4, Boston, MA 02115 Phone: 857-523-6040
Daniel J Townsend, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 175 Cambridge St, C/o Prooptical, Boston, MA 02114 Phone: 617-723-3937 Fax: 617-523-5006
Daniel Robert Lefebvre, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 243 Charles St, 10th Floor -- Ophthalmic Plastic Surgery, Boston, MA 02114 Phone: 617-523-7900
Dr. Seanna Rae Grob, MD, MAS Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 243 Charles St, Boston, MA 02114 Phone: 617-523-7900
Dr. Angell Shi, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000
Michael V Boland, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 243 Charles St, Boston, MA 02114 Phone: 617-573-3611
Dr. Parvathy A Pillai, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 243 Charles St, Boston, MA 02114 Phone: 617-647-1226 Fax: 617-573-3181

Dr Deidrya Antoinette Elizabeth Jackson, MD MPH - Medicare Ophthalmology in Boston, MA