Dr Ivan D Jackson, MD in Dothan, AL - Medicare Internal Medicine

Dr Ivan D Jackson, MD is a medicare enrolled "Internal Medicine" physician in Dothan, Alabama. He went to University Of South Alabama College Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Wiregrass Clinic Llc and his current practice location is 210 Westside Dr, Dothan, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 793-5074.

Dr Ivan D Jackson is licensed to practice in Alabama (license number 11508) 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 1205839362.

Contact Information

	Dr Ivan D Jackson, MD
	210 Westside Dr, Dothan, AL 36303-1928
	(334) 793-5074
	(334) 793-6460

Map and Direction

Physician's Profile

Full Name	Dr Ivan D Jackson
Gender	Male
Speciality	Internal Medicine
Experience	45 Years
Location	210 Westside Dr, Dothan, Alabama
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 Ivan D Jackson attended and graduated from University Of South Alabama College Of Medicine in 1979

NPI Data:

NPI Number: 1205839362
Provider Enumeration Date: 05/23/2005
Last Update Date: 03/03/2021

Medicare PECOS Information:

PECOS PAC ID: 6608956149
Enrollment ID: I20100303000000

Medical Identifiers

Medical identifiers for Dr Ivan D Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205839362	NPI	-	NPPES
000015699	Medicaid	AL
110082048	Other		RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	11508 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Flowers Hospital	Dothan, AL	Hospital
Southeast Alabama Medical Center	Dothan, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wiregrass Clinic Llc	2860662491	43

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 Ivan D Jackson allows following entities to bill medicare on his behalf.

Entity Name	Wiregrass Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558657890 PECOS PAC ID: 2860662491 Enrollment ID: O20110908002136

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 Ivan D 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 Ivan D Jackson, MD 210 Westside Dr, Dothan, AL 36303-1928 Ph: (334) 793-5074	Dr Ivan D Jackson, MD 210 Westside Dr, Dothan, AL 36303-1928 Ph: (334) 793-5074

Reviews and Comments

Internal Medicine Doctors in Dothan, AL

Parks Winfield Pratt Iii, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4300 W Main St, Suite 102, Dothan, AL 36305 Phone: 334-793-9564 Fax: 334-671-8907
Mr. Rodney K Beauchamp, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Parkwest Cir Ste 2, Dothan, AL 36303 Phone: 334-699-2004
Brian Reynolds Sinclair, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Ross Clark Cir Ste 400, Dothan, AL 36301 Phone: 334-305-0400 Fax: 334-305-0401
Dr. Olawale Mayokun Osunsanya, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1763 E Main St, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291
Jeffrey John Crittenden, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212 Fax: 334-836-1888
Dr. Venkat R Nimmagadda, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1540 E Main St, Dothan, AL 36301 Phone: 334-793-2618 Fax: 334-792-7353
Christopher O. Ike, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4300 W Main St Ste 102, Dothan, AL 36305 Phone: 334-793-9564 Fax: 334-340-2805

Dr Ivan D Jackson, MD - Medicare Internal Medicine in Dothan, AL