Dr Nicholas Max Harding-jackson, MD in Rancho Dominguez, CA

Dr Nicholas Max Harding-jackson, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Rancho Dominguez, California. He went to Rush Medical College Of Rush University and graduated in 2012 and has 12 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Jackson-zuckerman Inc and his current practice location is 2374 E Pacifica Pl, Rancho Dominguez, California. You can reach out to his office (for appointments etc.) via phone at (310) 225-3244.

Dr Nicholas Max Harding-jackson is licensed to practice in Washington (license number MD60627723) 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 1396011755.

Contact Information

	Dr Nicholas Max Harding-jackson, MD
	2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214
	(310) 225-3244
	(310) 698-7040

Map and Direction

Physician's Profile

Full Name	Dr Nicholas Max Harding-jackson
Gender	Male
Speciality	Pathology
Experience	12 Years
Location	2374 E Pacifica Pl, Rancho Dominguez, 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 Nicholas Max Harding-jackson attended and graduated from Rush Medical College Of Rush University in 2012

NPI Data:

NPI Number: 1396011755
Provider Enumeration Date: 03/29/2012
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 8820367709
Enrollment ID: I20170710000052

Medical Identifiers

Medical identifiers for Dr Nicholas Max Harding-jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396011755	NPI	-	NPPES
A146271	Other	CA	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	MD60627723 (Washington)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Health Ukiah Valley	Ukiah, CA	Hospital
Adventist Health Clearlake	Clearlake, CA	Hospital
Adventist Health Howard Memorial	Willits, CA	Hospital
Mendocino Coast District Hospital	Fort bragg, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jackson-zuckerman Inc	5890177844	2

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 Nicholas Max Harding-jackson allows following entities to bill medicare on his behalf.

Entity Name	Pacific Path, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821148883 PECOS PAC ID: 2466550793 Enrollment ID: O20070608000594

Entity Name	Southern Humboldt Community Healthcare District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003819376 PECOS PAC ID: 8820982879 Enrollment ID: O20100106000632

Entity Name	Jackson-zuckerman Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902538580 PECOS PAC ID: 5890177844 Enrollment ID: O20220808001164

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 Nicholas Max Harding-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 Nicholas Max Harding-jackson, MD 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 Ph: (310) 225-3244	Dr Nicholas Max Harding-jackson, MD 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 Ph: (310) 225-3244

Reviews and Comments

Pathology Doctors in Rancho Dominguez, CA

Suchetha Adiga, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7040
Daniel Real, MD Pathology Medicare: Medicare Enrolled Practice Location: 20001 S Rancho Way, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7040
Dr. Jennifer F O'dell, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7040
Dr. Nicolas Gallegos Ii, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7040
Georgia Liles Tunstill, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7054
Scott Binder, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-693-0718 Fax: 310-698-7040

Dr Nicholas Max Harding-jackson, MD - Medicare Pathology in Rancho Dominguez, CA