Dr Jackson Ryan Walker, - Medicare Internal Medicine in Philadelphia, PA

Dr Jackson Ryan Walker, is a medicare enrolled "Internal Medicine" physician in Philadelphia, Pennsylvania. His current practice location is 3509 N Broad St Ste 226, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 707-9837.

Dr Jackson Ryan Walker is licensed to practice in Ohio (license number 35.147112) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528695954.

Contact Information

Dr Jackson Ryan Walker,
3509 N Broad St Ste 226,
Philadelphia, PA 19140-4105
(215) 707-9837
Not Available

Map and Direction




Physician's Profile

Full NameDr Jackson Ryan Walker
GenderMale
SpecialityInternal Medicine
Location3509 N Broad St Ste 226, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528695954
  • Provider Enumeration Date: 03/25/2020
  • Last Update Date: 06/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8628482361
  • Enrollment ID: I20230824003473

Medical Identifiers

Medical identifiers for Dr Jackson Ryan Walker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528695954NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 35.147112 (Ohio)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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 Ryan Walker allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Cincinnati Physicians Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801840434
PECOS PAC ID: 2264344480
Enrollment ID: O20031105000123

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 Ryan Walker 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 Jackson Ryan Walker,
3509 N Broad St Ste 226,
Philadelphia, PA 19140-4105

Ph: (215) 707-9837
Dr Jackson Ryan Walker,
3509 N Broad St Ste 226,
Philadelphia, PA 19140-4105

Ph: (215) 707-9837

Reviews and Comments


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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.