Dr Keith Wayne Jackson, MD in Los Angeles, CA

Dr Keith Wayne Jackson, MD is a medicare enrolled "Anesthesiology" physician in Los Angeles, California. He went to Johns Hopkins University School Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Orange Coast Anesthesia Inc and his current practice location is 235 N Hoover St, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (949) 707-5339.

Dr Keith Wayne Jackson is licensed to practice in California (license number G46539) 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 1548399538.

Contact Information

	Dr Keith Wayne Jackson, MD
	235 N Hoover St, Los Angeles, CA 90004-3627
	(949) 707-5339
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Keith Wayne Jackson
Gender	Male
Speciality	Anesthesiology
Experience	44 Years
Location	235 N Hoover St, Los Angeles, California
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 Keith Wayne Jackson attended and graduated from Johns Hopkins University School Of Medicine in 1980

NPI Data:

NPI Number: 1548399538
Provider Enumeration Date: 03/05/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8325132483
Enrollment ID: I20070919000962

Medical Identifiers

Medical identifiers for Dr Keith Wayne Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548399538	NPI	-	NPPES
00G465391	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	G46539 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fountain Valley Regional Hospital & Medical Center	Fountain valley, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orange Coast Anesthesia Inc	2466613591	81

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 Keith Wayne Jackson allows following entities to bill medicare on his behalf.

Entity Name	Orange Coast Anesthesia Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508138256 PECOS PAC ID: 2466613591 Enrollment ID: O20120417000047

Entity Name	Premiercare Anesthesia Fountain Valley Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831536531 PECOS PAC ID: 5698903003 Enrollment ID: O20140110000426

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 Keith Wayne 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 Keith Wayne Jackson, MD 25108 Marguerite Pkwy, Suite A 203, Mission Viejo, CA 92692-2400 Ph: (949) 707-5339	Dr Keith Wayne Jackson, MD 235 N Hoover St, Los Angeles, CA 90004-3627 Ph: (949) 707-5339

Reviews and Comments

Anesthesiology Doctors in Los Angeles, CA

Glory Cabanilla Tancinco, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6245 De Longpre Ave, Los Angeles, CA 90028 Phone: 234-622-2713
Dr. Ernest Shmidt, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6245 De Longpre Ave, Los Angeles, CA 90028 Phone: 323-462-2271
Dr. Thiendang Viet Nguyen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, #14-901, Los Angeles, CA 90033 Phone: 323-409-7748
Catherine Cha, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-8041 Fax: 310-267-3766
Mariya Svilik, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-9111
Dr. Phil Orallo Castillo, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Room 14-901, Los Angeles, CA 90033 Phone: 323-226-4597 Fax: 323-226-2794
Alma Luna Wells, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3160 Geneva St, Los Angeles, CA 90020 Phone: 818-813-4061

Dr Keith Wayne Jackson, MD - Medicare Anesthesiology in Los Angeles, CA