Dr Jackson Charles Pugh, MD in O Fallon, MO

Dr Jackson Charles Pugh, MD is a medicare enrolled "Emergency Medicine" physician in O Fallon, Missouri. He went to Saint Louis University School Of Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southeastern Emergency Physicians Of Memphis Llc and his current practice location is 300 Winding Woods Dr Ste 100, O Fallon, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 379-4329.

Dr Jackson Charles Pugh is licensed to practice in Missouri (license number 2020024607) 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 1912345935.

Contact Information

	Dr Jackson Charles Pugh, MD
	300 Winding Woods Dr Ste 100, O Fallon, MO 63366-5080
	(636) 379-4329
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jackson Charles Pugh
Gender	Male
Speciality	Family Practice
Experience	12 Years
Location	300 Winding Woods Dr Ste 100, O Fallon, Missouri
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 Jackson Charles Pugh attended and graduated from Saint Louis University School Of Medicine in 2013

NPI Data:

NPI Number: 1912345935
Provider Enumeration Date: 06/12/2013
Last Update Date: 04/01/2021

Medicare PECOS Information:

PECOS PAC ID: 5496057960
Enrollment ID: I20201007001748

Medical Identifiers

Medical identifiers for Dr Jackson Charles Pugh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912345935	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2020024607 (Missouri)	Secondary
207P00000X	Emergency Medicine	2020024607 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Pike County Memorial Hospital	Louisiana, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Emergency Physicians Of Memphis Llc	5395643209	82

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 Jackson Charles Pugh allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Emergency Physicians Of Memphis Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434

Entity Name	Cep America Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619332046 PECOS PAC ID: 6608056171 Enrollment ID: O20150312000325

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 Jackson Charles Pugh 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 Jackson Charles Pugh, MD 300 Winding Woods Dr Ste 100, O Fallon, MO 63366-5080 Ph: (636) 379-4329	Dr Jackson Charles Pugh, MD 300 Winding Woods Dr Ste 100, O Fallon, MO 63366-5080 Ph: (636) 379-4329

Reviews and Comments

Emergency Medicine Doctors in O Fallon, MO

Leo Hsu, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Progress Point Ct, O Fallon, MO 63368 Phone: 636-344-1151
Miss Kristen M Farris, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Progress Point Pkwy Ste 100, O Fallon, MO 63368 Phone: 636-344-3105
Dr. Nancy Jane Niemann Royer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2 Progress Point Parkway, Progress West Health Care Center Attn Er, O Fallon, MO 63368 Phone: 636-344-1151 Fax: 636-344-1176
Robert D Wiele, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Progress Point Ct, Progress West Health Center, O Fallon, MO 63368 Phone: 314-740-6471
Mrs. Andrea Lynn Gagliano, NP Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Progress Point Pkwy # 812024, O Fallon, MO 63368 Phone: 636-344-1151
Timothy D Moore, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2630 Highway K, O Fallon, MO 63368 Phone: 636-240-5454 Fax: 636-980-5335
Joseph Kohout, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2 Progress Point Ct, O Fallon, MO 63368 Phone: 636-916-9000

Dr Jackson Charles Pugh, MD - Medicare Family Practice in O Fallon, MO