Dr Nicole M Jackson, MD in Dorchester, MA

Dr Nicole M Jackson, MD is a medicare enrolled "Family Medicine" physician in Dorchester, Massachusetts. She went to Harvard Medical School and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Prospect Ct Medical Foundation Inc and her current practice location is 637 Washington St, Dorchester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 825-9660.

Dr Nicole M Jackson is licensed to practice in Massachusetts (license number 274945) 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 1710364211.

Contact Information

	Dr Nicole M Jackson, MD
	637 Washington St, Dorchester, MA 02124
	(617) 825-9660
	(617) 822-8222

Map and Direction

Physician's Profile

Full Name	Dr Nicole M Jackson
Gender	Female
Speciality	Family Practice
Experience	9 Years
Location	637 Washington St, Dorchester, Massachusetts
Accepts Medicare Assignments	Yes. 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 Nicole M Jackson attended and graduated from Harvard Medical School in 2015

NPI Data:

NPI Number: 1710364211
Provider Enumeration Date: 05/04/2015
Last Update Date: 05/18/2020

Medicare PECOS Information:

PECOS PAC ID: 4688981160
Enrollment ID: I20210129000128

Medical Identifiers

Medical identifiers for Dr Nicole M Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710364211	NPI	-	NPPES
110108346A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	274945 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Manchester Memorial Hospital	Manchester, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prospect Ct Medical Foundation Inc	7416244496	270

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 Nicole M Jackson allows following entities to bill medicare on her behalf.

Entity Name	Prospect Ct Medical Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144677568 PECOS PAC ID: 7416244496 Enrollment ID: O20160919001322

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 Nicole M 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 Nicole M Jackson, MD 801 Albany St Fl G, Boston, MA 02119-3791 Ph: () -	Dr Nicole M Jackson, MD 637 Washington St, Dorchester, MA 02124 Ph: (617) 825-9660

Reviews and Comments

Family Medicine Doctors in Dorchester, MA

Dr. Geoffrey Alan Modest, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Columbia Rd, Dorchester, MA 02125 Phone: 617-287-8000 Fax: 617-282-8625
Valerie Efonda Sanders, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Mount Vernon St, Dorchester, MA 02125 Phone: 617-288-1140
Dr. Daniel Cagua-koo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Mount Vernon St, Dorchester, MA 02125 Phone: 617-288-1140
Dr. Chinh Van Le, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2100 Dorchester Avenue, Family Medicine, Dorchester, MA 02124 Phone: 617-506-4970 Fax: 617-825-2352
Dr. Elise Marie Henricks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Columbia Rd, Dorchester, MA 02125 Phone: 617-740-8075 Fax: 617-740-8060
Dr. Amrutha Denduluri, MBBS, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 637 Washington Street, Dorchester, MA 02124 Phone: 617-825-9660
Glennon John Ogrady, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Dorchester Avenue, Family Medicine, Dorchester, MA 02124 Phone: 617-506-4970 Fax: 978-686-4137

Dr Nicole M Jackson, MD - Medicare Family Practice in Dorchester, MA