Dr Robert Derek Jackson, MD - Medicare Anesthesiology in Jacksonville, FL

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Dr Robert Derek Jackson, MD is a medicare enrolled "Anesthesiology" physician in Jacksonville, Florida. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 1998 and has 26 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Anesthesia Dynamics Llc, Anesthesia Dynamics Llc and his current practice location is 2080 Child St, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 542-7631.

Dr Robert Derek Jackson is licensed to practice in Maryland (license number D0055688) 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 1780655399.

Contact Information

Dr Robert Derek Jackson, MD
2080 Child St,
Jacksonville, FL 32214-5005
(904) 542-7631
Not Available

Map and Direction




Physician's Profile

Full NameDr Robert Derek Jackson
GenderMale
SpecialityAnesthesiology
Experience26 Years
Location2080 Child St, Jacksonville, Florida
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 Robert Derek Jackson attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 1998
  NPI Data:
  • NPI Number: 1780655399
  • Provider Enumeration Date: 01/31/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6800212275
  • Enrollment ID: I20200814002603

Medical Identifiers

Medical identifiers for Dr Robert Derek Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780655399NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology D0055688 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Methodist Hospitals IncGary, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Dynamics Llc3779832530379
Anesthesia Dynamics Llc3779832530379

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 Robert Derek Jackson allows following entities to bill medicare on his behalf.
Entity NameAnesthesiologist Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306889910
PECOS PAC ID: 8921910027
Enrollment ID: O20031105000469
Entity NameFleming Island Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487945895
PECOS PAC ID: 6002084860
Enrollment ID: O20110721000345
Entity NameMiami Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821475179
PECOS PAC ID: 1355651837
Enrollment ID: O20151112002797
Entity NamePhysician Partners Of America Crna Operations Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992129365
PECOS PAC ID: 8022239722
Enrollment ID: O20160421000842
Entity NameFlorida Pain Relief Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376994608
PECOS PAC ID: 4688960271
Enrollment ID: O20160908000245
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20190820001117

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 Robert Derek 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 Robert Derek Jackson, MD
2080 Child St,
Jacksonville, FL 32214-5005

Ph: (904) 542-7631		Dr Robert Derek Jackson, MD
2080 Child St,
Jacksonville, FL 32214-5005

Ph: (904) 542-7631

Reviews and Comments


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Practice Location: 820 Prudential Dr, Suite 606, Jacksonville, FL 32207
Phone: 904-398-3356    Fax: 904-398-5397

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.

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