Dr Faith Lee-jackson, MD is a medicare enrolled "Family Medicine" physician in San Bernandino, California. Her current practice location is
1700 North Waterman Avenue, San Bernandino, California. You can reach out to her office (for appointments etc.) via phone at
(909) 883-8611.
Dr Faith Lee-jackson is licensed to practice in California (license number A63452) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699745471.
Physician's Profile
| Full Name | Dr Faith Lee-jackson |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1700 North Waterman Avenue, San Bernandino, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Faith Lee-jackson attended and graduated from in
NPI Data:
- NPI Number: 1699745471
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 09/19/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Faith Lee-jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699745471 | NPI | - | NPPES |
| OOA634520 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | A63452 (California) | Primary |
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 Faith Lee-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 Faith Lee-jackson, MD
1700 North Waterman Avenue,
San Bernandino, CA 92404-5105
Ph: (909) 883-8611 | Dr Faith Lee-jackson, MD
1700 North Waterman Avenue,
San Bernandino, CA 92404-5105
Ph: (909) 883-8611 |
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