Dr Jeffrey A Jackson, MD in Tyler, TX - Medicare Internal Medicine

Dr Jeffrey A Jackson, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Tyler, Texas. His current practice location is 409 W Ferguson St, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 596-8353.

Dr Jeffrey A Jackson is licensed to practice in Texas (license number G8711) 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 1972563443.

Contact Information

	Dr Jeffrey A Jackson, MD
	409 W Ferguson St, Tyler, TX 75702-5632
	(903) 596-8353
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jeffrey A Jackson
Gender	Male
Speciality	Internal Medicine - Endocrinology, Diabetes & Metabolism
Location	409 W Ferguson St, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972563443
Provider Enumeration Date: 03/27/2006
Last Update Date: 11/19/2021

Medicare PECOS Information:

PECOS PAC ID: 7517265671
Enrollment ID: I20160406001569

Medical Identifiers

Medical identifiers for Dr Jeffrey A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972563443	NPI	-	NPPES
460002994	Other	TX	RR/MEDICARE
1010571-02	Medicaid	TX
201350760	Medicaid	IN
1010571-01	Other	TX	CSHCN
807573	Other	TX	BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	4301045865 (Michigan)	Secondary
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	G8711 (Texas)	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 Jeffrey A Jackson allows following entities to bill medicare on his behalf.

Entity Name	Indiana University Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955

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 Jeffrey A 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 Jeffrey A Jackson, MD 409 W Ferguson St, Tyler, TX 75702-5632 Ph: (903) 596-8353	Dr Jeffrey A Jackson, MD 409 W Ferguson St, Tyler, TX 75702-5632 Ph: (903) 596-8353

Reviews and Comments

Internal Medicine Doctors in Tyler, TX

Ifeatu Uchenna Oti, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Preetham Reddy Muskula, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715
Dr. Varalaxmi Bhavani Nannaka, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 912 S Fleishel Ave, Tyler, TX 75701 Phone: 903-592-6901
David A Brickey, DO Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-525-1914
Randy Craig Randall, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 1783 Troup Highway, Tyler, TX 75701 Phone: 903-595-2283 Fax: 903-595-1063
Nabeel K Ahmed, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Rodolfo Amaro-galvez, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7072 Fax: 903-877-5838

Dr Jeffrey A Jackson, MD - Medicare Internal Medicine in Tyler, TX