Dr Walter Osborne Jackson, MD in Fort Wayne, IN

Dr Walter Osborne Jackson, MD is a medicare enrolled "Emergency Medicine" physician in Fort Wayne, Indiana. He went to Yale University School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Santa Ana Physicians Group Pc and his current practice location is 10329 Greenoak Blvd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 616-0681.

Dr Walter Osborne Jackson is licensed to practice in Indiana (license number 01067150A) 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 1902982796.

Contact Information

	Dr Walter Osborne Jackson, MD
	10329 Greenoak Blvd, Fort Wayne, IN 46814-9546
	(260) 616-0681
	(866) 513-3371

Map and Direction

Physician's Profile

Full Name	Dr Walter Osborne Jackson
Gender	Male
Speciality	Emergency Medicine
Experience	29 Years
Location	10329 Greenoak Blvd, Fort Wayne, Indiana
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 Walter Osborne Jackson attended and graduated from Yale University School Of Medicine in 1995

NPI Data:

NPI Number: 1902982796
Provider Enumeration Date: 10/27/2006
Last Update Date: 06/05/2013

Medicare PECOS Information:

PECOS PAC ID: 2860487212
Enrollment ID: I20140806002285

Medical Identifiers

Medical identifiers for Dr Walter Osborne Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902982796	NPI	-	NPPES
G48786	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	23797 (South Carolina)	Secondary
207P00000X	Emergency Medicine	48786 (Georgia)	Secondary
207P00000X	Emergency Medicine	7739 (North Dakota)	Secondary
207P00000X	Emergency Medicine	A070415 (California)	Secondary
207P00000X	Emergency Medicine	01067150A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
John F Kennedy Memorial Hospital	Indio, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Santa Ana Physicians Group Pc	9234455015	15

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 Walter Osborne Jackson allows following entities to bill medicare on his behalf.

Entity Name	Golden State Emergency Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770886558 PECOS PAC ID: 4981885951 Enrollment ID: O20110223001018

Entity Name	Santa Ana Physicians Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831592187 PECOS PAC ID: 9234455015 Enrollment ID: O20150313001997

Entity Name	Sunshine Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649725466 PECOS PAC ID: 3072893460 Enrollment ID: O20161130001458

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 Walter Osborne 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 Walter Osborne Jackson, MD 10329 Greenoak Blvd, Fort Wayne, IN 46814-9546 Ph: (260) 616-0681	Dr Walter Osborne Jackson, MD 10329 Greenoak Blvd, Fort Wayne, IN 46814-9546 Ph: (260) 616-0681

Reviews and Comments

Emergency Medicine Doctors in Fort Wayne, IN

Dr. Danyelle R Aber, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-1000
Amy Souers, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-1000
Aeden J Ligon, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9216 Crystal Spring Dr, Fort Wayne, IN 46804 Phone: 765-480-9828
Albert V Emilian, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10343 Dawsons Creek Blvd, Suite A, Fort Wayne, IN 46825 Phone: 260-203-9600 Fax: 260-739-6167
Dr. Janardhanan V Davy, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd Ste 2121, Fort Wayne, IN 46804 Phone: 260-435-2937
Dr. Elmer Toliver, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431
Bruce Sowers, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001

Dr Walter Osborne Jackson, MD - Medicare Emergency Medicine in Fort Wayne, IN