Dr Mark R Jackson, MD - Medicare Emergency Medicine in Tooele, UT

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Dr Mark R Jackson, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Tooele, Utah. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Fedko Emergency Physicians New Mexico, Llc, Emergency Staffing Solutions Inc and his current practice location is 1474 E Erda Way, Tooele, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 849-0779.

Dr Mark R Jackson is licensed to practice in Utah (license number 5929640-1205) 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 1003877077.

Contact Information

Dr Mark R Jackson, MD
1474 E Erda Way,
Tooele, UT 84074-9737
(435) 849-0779
Not Available

Map and Direction




Physician's Profile

Full NameDr Mark R Jackson
GenderMale
SpecialityEmergency Medicine
Experience29 Years
Location1474 E Erda Way, Tooele, Utah
Accepts Medicare AssignmentsYes. 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 Mark R Jackson graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1003877077
  • Provider Enumeration Date: 03/30/2006
  • Last Update Date: 03/21/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5991740599
  • Enrollment ID: I20110609000348

Medical Identifiers

Medical identifiers for Dr Mark R Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003877077NPI-NPPES
D6378MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 5929640-1205 (Utah)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fedko Emergency Physicians New Mexico, Llc488093438940
Emergency Staffing Solutions Inc983000165038

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 Mark R Jackson allows following entities to bill medicare on his behalf.
Entity NameEmergency Staffing Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477590974
PECOS PAC ID: 9830001650
Enrollment ID: O20070724000197
Entity NameHospital Care Consultants Region Ii Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558491449
PECOS PAC ID: 8820197064
Enrollment ID: O20070815000271
Entity NameEss Hospitalist Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881967305
PECOS PAC ID: 6103085295
Enrollment ID: O20120718000719
Entity NameApp Of New Mexico Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891169942
PECOS PAC ID: 7416259445
Enrollment ID: O20160108000220
Entity NameFedko Emergency Physicians New Mexico, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770047441
PECOS PAC ID: 4880934389
Enrollment ID: O20190320001146

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 Mark R 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 Mark R Jackson, MD
1474 E Erda Way,
Tooele, UT 84074-9737

Ph: (435) 849-0779		Dr Mark R Jackson, MD
1474 E Erda Way,
Tooele, UT 84074-9737

Ph: (435) 849-0779

Reviews and Comments


Emergency Medicine Doctors in Tooele, UT

Adam Saperston, MD
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Practice Location: 2055 N Main St, Tooele, UT 84074
Phone: 435-843-3600    
Richard Thurman, MD
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Practice Location: 2055 N Main St, Tooele, UT 84074
Phone: 435-843-3600    
John Masaryk, MD
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Phone: 435-843-3600    
Daniel Duggleby, MD
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Medicare: Medicare Enrolled
Practice Location: 2055 N Main St, Tooele, UT 84074
Phone: 435-843-3600    
Stanley J. Callister, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Building 400, Tooele Army Depot, Tooele, UT 84074
Phone: 435-833-2572    Fax: 435-833-3933
Mr. Jeffrey Richards Davis, PA-C
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1244 N Main St Ste 201, Tooele, UT 84074
Phone: 435-849-4155    

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.