Dr Todd Lincoln Jackson, MD is a medicare enrolled "Ophthalmology" physician in Kingman, Arizona. He went to Medical College Of Wisconsin and graduated in 2006 and has 18 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Mohave Eye Centers Ltd. and his current practice location is
710 Eastern St Ste H, Kingman, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 224-0536.
Dr Todd Lincoln Jackson is licensed to practice in Arizona (license number 52840) 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 1609063775.
Physician's Profile
Full Name | Dr Todd Lincoln Jackson |
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Gender | Male |
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Speciality | Ophthalmology |
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Experience | 18 Years |
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Location | 710 Eastern St Ste H, Kingman, Arizona |
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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 Todd Lincoln Jackson attended and graduated from Medical College Of Wisconsin in 2006
NPI Data:
- NPI Number: 1609063775
- Provider Enumeration Date: 10/02/2007
- Last Update Date: 11/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 1557498748
- Enrollment ID: I20181110000150
Medical Identifiers
Medical identifiers for Dr Todd Lincoln Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609063775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 52840 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mohave Eye Centers Ltd. | 7911985247 | 8 |
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 Todd Lincoln Jackson allows following entities to bill medicare on his behalf.
Entity Name | Mohave Eye Centers Ltd. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063438257 PECOS PAC ID: 7911985247 Enrollment ID: O20040712001437 |
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Entity Name | Prestige Laser And Cataract Institute Llc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
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Entity Identifiers | NPI Number: 1518680347 PECOS PAC ID: 4688037179 Enrollment ID: O20230831000671 |
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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 Todd Lincoln 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 Todd Lincoln Jackson, MD 710 Eastern St Ste H, Kingman, AZ 86401-5486 Ph: (928) 224-0536 | Dr Todd Lincoln Jackson, MD 710 Eastern St Ste H, Kingman, AZ 86401-5486 Ph: (928) 224-0536 |
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