Dr Kaedrea Jackson, MD - Medicare Emergency Medicine in Brooklyn, NY

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Dr Kaedrea Jackson, MD is a medicare enrolled "Emergency Medicine" physician in Brooklyn, New York. Her current practice location is 451 Clarkson Ave, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (718) 245-4795.

Dr Kaedrea Jackson is licensed to practice in New York (license number 255061) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1982809497.

Contact Information

Dr Kaedrea Jackson, MD
451 Clarkson Ave,
Brooklyn, NY 11203-2054
(718) 245-4795
Not Available

Map and Direction




Physician's Profile

Full NameDr Kaedrea Jackson
GenderFemale
SpecialityEmergency Medicine
Location451 Clarkson Ave, Brooklyn, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982809497
  • Provider Enumeration Date: 06/15/2007
  • Last Update Date: 02/16/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4688844202
  • Enrollment ID: I20110908002014

Medical Identifiers

Medical identifiers for Dr Kaedrea Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982809497NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 255061 (New York)Primary
207R00000XInternal Medicine 255061 (New York)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 Kaedrea Jackson allows following entities to bill medicare on her behalf.
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477899078
PECOS PAC ID: 2264691070
Enrollment ID: O20130717000798
Entity NameFpa Hospital Based
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629319413
PECOS PAC ID: 4789826694
Enrollment ID: O20130806000185
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124392238
PECOS PAC ID: 1850514258
Enrollment ID: O20140603000259
Entity NameOptum Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285975797
PECOS PAC ID: 8628299518
Enrollment ID: O20141017000598
Entity NameState Of New York Comptrollers Office
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588077994
PECOS PAC ID: 0840101770
Enrollment ID: O20150129000656
Entity NameKings Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083045090
PECOS PAC ID: 0547579427
Enrollment ID: O20151015000175
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679083984
PECOS PAC ID: 6103251491
Enrollment ID: O20200114002920

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 Kaedrea 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 AddressPractice Location Address
Dr Kaedrea Jackson, MD
2800 Marcus Ave, Box 1228,
New Hyde Park, NY 11042-1113

Ph: (718) 245-4790		Dr Kaedrea Jackson, MD
451 Clarkson Ave,
Brooklyn, NY 11203-2054

Ph: (718) 245-4795

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.