Dr Kimberly Shelley Jackson, MD - Medicare Family Practice in Daniel Island, SC

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Dr Kimberly Shelley Jackson, MD is a medicare enrolled "Family Medicine" physician in Daniel Island, South Carolina. She went to University Of South Carolina School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Proactive Therapy Of South Carolina Inc, Carolina Family Care Inc and her current practice location is 864 Island Park Dr Ste 101, Daniel Island, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 876-7975.

Dr Kimberly Shelley Jackson is licensed to practice in South Carolina (license number 18009) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558318527.

Contact Information

Dr Kimberly Shelley Jackson, MD
864 Island Park Dr Ste 101,
Daniel Island, SC 29492-7446
(843) 876-7975
Not Available

Map and Direction




Physician's Profile

Full NameDr Kimberly Shelley Jackson
GenderFemale
SpecialityFamily Practice
Experience30 Years
Location864 Island Park Dr Ste 101, Daniel Island, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kimberly Shelley Jackson attended and graduated from University Of South Carolina School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1558318527
  • Provider Enumeration Date: 05/27/2006
  • Last Update Date: 01/23/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1759355357
  • Enrollment ID: I20040824000038

Medical Identifiers

Medical identifiers for Dr Kimberly Shelley Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558318527NPI-NPPES
T19753MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 18009 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health Of Charleston EastCharleston, SCHome health agency
Musc Medical CenterCharleston, SCHospital
Musc Health Marion Medical CenterMullins, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Proactive Therapy Of South Carolina Inc054723095557
Carolina Family Care Inc458755773163

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 Kimberly Shelley Jackson allows following entities to bill medicare on her behalf.
Entity NameMedical University Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255305876
PECOS PAC ID: 1557268950
Enrollment ID: O20031215000499
Entity NameCarolina Family Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184655722
PECOS PAC ID: 4587557731
Enrollment ID: O20040203000627
Entity NameRivertown Family Medicine, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174529317
PECOS PAC ID: 4587638184
Enrollment ID: O20040820000214

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 Kimberly Shelley 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 Kimberly Shelley Jackson, MD
Po Box 602108,
Charlotte, NC 28260-2108

Ph: (843) 792-6200		Dr Kimberly Shelley Jackson, MD
864 Island Park Dr Ste 101,
Daniel Island, SC 29492-7446

Ph: (843) 876-7975

Reviews and Comments


Family Medicine Doctors in Daniel Island, SC

Leigh M Spicer, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 899 Island Park Dr, Ste. 200, Daniel Island, SC 29492
Phone: 843-856-6402    Fax: 843-216-5068
Dr. Jessica Hund, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 964 Island Park Drive, Ste 101, Daniel Island, SC 29403
Phone: 843-876-7975    
John Gardner Inman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 880 Island Park Dr Unit 200, Daniel Island, SC 29492
Phone: 843-856-1771    Fax: 843-856-8788
Lucy Green Davis, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 899 Island Park Dr, Ste 200, Daniel Island, SC 29492
Phone: 843-856-6402    Fax: 843-216-5068
Edward J Giove, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 297 Seven Farms Dr Ste 202, Daniel Island, SC 29492
Phone: 843-936-4470    Fax: 843-256-6877

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.