Dr Ollie Joseph Jackson Iii, MD in Beverly Hills, CA

Dr Ollie Joseph Jackson Iii, MD is a medicare enrolled "Surgery" physician in Beverly Hills, California. His current practice location is 9001 Wilshire Blvd, Suite #106, Beverly Hills, California. You can reach out to his office (for appointments etc.) via phone at (310) 273-8885.

Dr Ollie Joseph Jackson Iii is licensed to practice in California (license number A103543) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104084698.

Contact Information

	Dr Ollie Joseph Jackson Iii, MD
	9001 Wilshire Blvd, Suite #106, Beverly Hills, CA 90211-1838
	(310) 273-8885
	(310) 273-8662

Map and Direction

Physician's Profile

Full Name	Dr Ollie Joseph Jackson Iii
Gender	Male
Speciality	Surgery
Location	9001 Wilshire Blvd, Beverly Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104084698
Provider Enumeration Date: 05/30/2008
Last Update Date: 03/15/2023

Medicare PECOS Information:

PECOS PAC ID: 3476707043
Enrollment ID: I20230501002893

Medical Identifiers

Medical identifiers for Dr Ollie Joseph Jackson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104084698	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0122X	Surgery - Plastic And Reconstructive Surgery	A103543 (California)	Secondary
208600000X	Surgery	A103543 (California)	Primary

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 Ollie Joseph Jackson Iii allows following entities to bill medicare on his behalf.

Entity Name	Vanguard Vein Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699472191 PECOS PAC ID: 7810361136 Enrollment ID: O20230328000084

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 Ollie Joseph Jackson Iii 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 Ollie Joseph Jackson Iii, MD 9001 Wilshire Blvd, Suite #106, Beverly Hills, CA 90211-1838 Ph: (310) 273-8885	Dr Ollie Joseph Jackson Iii, MD 9001 Wilshire Blvd, Suite #106, Beverly Hills, CA 90211-1838 Ph: (310) 273-8885

Reviews and Comments

Surgery Doctors in Beverly Hills, CA

Robert Lipsky, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 9301 Wilshire Blvd Ste 414, Beverly Hills, CA 90210 Phone: 310-659-5008 Fax: 323-650-7678
Robert Dorfman, MD Surgery Medicare: Medicare Enrolled Practice Location: 9454 Wilshire Blvd Ste 803, Beverly Hills, CA 90212 Phone: 312-420-2575
Dr. Houshang Hakhamimi, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 50 N La Cienega Blvd, #310, Beverly Hills, CA 90211 Phone: 310-358-9404 Fax: 310-358-9434
Moses J Fallas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9001 Wilshire Blvd, Suite 304, Beverly Hills, CA 90211 Phone: 310-855-1023
Dr. Louis M Savar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 433 N Camden Dr, Suite 1150, Beverly Hills, CA 90210 Phone: 310-276-9800
Dr. Robert Y Uyeda, MD Surgery Medicare: Medicare Enrolled Practice Location: 465 North Roxbury Drive, #1012, Beverly Hills, CA 90210 Phone: 310-271-2178 Fax: 310-271-2169
David Paul Deutsch, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 9100 Wilshire Blvd, East Tower Penthouse, Beverly Hills, CA 90212 Phone: 310-288-9999

Dr Ollie Joseph Jackson Iii, MD - Medicare Surgery in Beverly Hills, CA