Dr Paula Jean Jackson, MD is a medicare enrolled "Otolaryngology" physician in Fort Polk, Louisiana. Her current practice location is
Bayne-jones Army Community Hospital, 1585 Third Street, Fort Polk, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(337) 531-3276.
Dr Paula Jean Jackson is licensed to practice in Indiana (license number 01059309A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871504324.
Physician's Profile
Full Name | Dr Paula Jean Jackson |
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Gender | Female |
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Speciality | Otolaryngology |
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Location | Bayne-jones Army Community Hospital, Fort Polk, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871504324
- Provider Enumeration Date: 08/10/2006
- Last Update Date: 05/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 0547354490
- Enrollment ID: I20230523001695
Medical Identifiers
Medical identifiers for Dr Paula Jean Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871504324 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 01059309A (Indiana) | 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 Paula Jean Jackson allows following entities to bill medicare on her behalf.
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558 |
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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 Paula Jean 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 Paula Jean Jackson, MD 4132 Larson Ln, Mount Airy, MD 21771-4512 Ph: (301) 829-9452 | Dr Paula Jean Jackson, MD Bayne-jones Army Community Hospital, 1585 Third Street, Fort Polk, LA 71459 Ph: (337) 531-3276 |
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