Dr Jon Richard Jackson, MD in Baton Rouge, LA

Dr Jon Richard Jackson, MD is a medicare enrolled "Internal Medicine" physician in Baton Rouge, Louisiana. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Our Lady Of The Lake Physician Group Llc and his current practice location is 5000 Hennessy Blvd, Baton Rouge, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 765-4050.

Dr Jon Richard Jackson is licensed to practice in Louisiana (license number 12488R) 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 1013909118.

Contact Information

	Dr Jon Richard Jackson, MD
	5000 Hennessy Blvd, Baton Rouge, LA 70808-4375
	(225) 765-4050
	(225) 765-4046

Map and Direction

Physician's Profile

Full Name	Dr Jon Richard Jackson
Gender	Male
Speciality	Internal Medicine
Experience	33 Years
Location	5000 Hennessy Blvd, Baton Rouge, Louisiana
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 Jon Richard Jackson graduated from medical school in 1991

NPI Data:

NPI Number: 1013909118
Provider Enumeration Date: 08/16/2005
Last Update Date: 03/26/2021

Medicare PECOS Information:

PECOS PAC ID: 5395880124
Enrollment ID: I20100304000741

Medical Identifiers

Medical identifiers for Dr Jon Richard Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013909118	NPI	-	NPPES
P00020219	Other		RAIL ROAD MEDICARE
01738210	Medicaid	MS
1535931	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	12488R (Louisiana)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	12488R (Louisiana)	Secondary
208M00000X	Hospitalist	12488R (Louisiana)	Secondary
207R00000X	Internal Medicine	12488R (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Our Lady Of The Lake Regional Medical Center	Baton rouge, LA	Hospital
Lane Regional Medical Center	Zachary, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Our Lady Of The Lake Physician Group Llc	4587849781	521

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 Jon Richard Jackson allows following entities to bill medicare on his behalf.

Entity Name	Our Lady Of The Lake Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377

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 Jon Richard 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 Jon Richard Jackson, MD 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 Ph: (225) 765-4050	Dr Jon Richard Jackson, MD 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 Ph: (225) 765-4050

Reviews and Comments

Internal Medicine Doctors in Baton Rouge, LA

Dr. Jennifer L Rippon, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd Ste 409, Baton Rouge, LA 70808 Phone: 225-765-5864 Fax: 225-765-2013
Gregory Fusilier, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 9103 Jefferson Hwy, Baton Rouge, LA 70809 Phone: 225-927-1190 Fax: 225-927-0988
Dr. Yolanda Maria O'rourke, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7968 Essen Park, Baton Rouge, LA 70809 Phone: 225-761-6700 Fax: 225-761-6760
Patricia D. Whatley, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7373 Perkins Rd, Attn: Dee / Administration, Baton Rouge, LA 70808 Phone: 225-769-4044
Frederick Cerise, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3810 W Lakeshore Dr, Baton Rouge, LA 70808 Phone: 225-578-8886
Nicholas Kyle Baldwin, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9103 Jefferson Hwy, Baton Rouge, LA 70809 Phone: 225-927-1190

Dr Jon Richard Jackson, MD - Medicare Internal Medicine in Baton Rouge, LA