Freeman Randolph Jackson, MD in Greensboro, NC

Freeman Randolph Jackson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Greensboro, North Carolina. His current practice location is 1331 N Elm St, Suite 200, Greensboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 274-9617.

Freeman Randolph Jackson is licensed to practice in North Carolina (license number 22747) 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 1235112178.

Contact Information

	Freeman Randolph Jackson, MD
	1331 N Elm St, Suite 200, Greensboro, NC 27401-6302
	(336) 274-9617
	(336) 482-2177

Map and Direction

Physician's Profile

Full Name	Freeman Randolph Jackson
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	1331 N Elm St, Greensboro, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235112178
Provider Enumeration Date: 11/23/2005
Last Update Date: 10/15/2014

Medicare PECOS Information:

PECOS PAC ID: 6608859251
Enrollment ID: I20040612000503

Medical Identifiers

Medical identifiers for Freeman Randolph Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235112178	NPI	-	NPPES
1600271	Other	NC	UNITED HEALTHCARE
23519	Other	NC	PARTNERS
45552	Other	NC	BLUE CROSS BLUE SHIELD
300085677	Other	NC	RAILROAD MEDICARE
8945552	Medicaid	NC
73479	Other	NC	MEDCOST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	22747 (North Carolina)	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. Freeman Randolph Jackson allows following entities to bill medicare on his behalf.

Entity Name	Wake Forest Health Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477785756 PECOS PAC ID: 4183538895 Enrollment ID: O20031117000868

Entity Name	Greensboro Radiology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821035999 PECOS PAC ID: 8729074901 Enrollment ID: O20040422001214

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. Freeman Randolph 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
Freeman Randolph Jackson, MD 1331 N Elm St, Suite 200, Greensboro, NC 27401-6302 Ph: (336) 274-9617	Freeman Randolph Jackson, MD 1331 N Elm St, Suite 200, Greensboro, NC 27401-6302 Ph: (336) 274-9617

Reviews and Comments

Radiology Doctors in Greensboro, NC

Melinda Ann Blietz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177
Raymond Charles Rubner Jr., M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 1331 N Elm St, Suite 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177
Dr. David Sung Kwon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177
James Judd Green Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177
Dr. Paul Douglas Barry, MD Radiology Medicare: Medicare Enrolled Practice Location: 1331 North Elm Street, Suite 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177
Stacy Wentworth, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 501 N. Elam Avenue, Greensboro, NC 27403 Phone: 336-832-1100
Dr. Otis Norwood Fisher, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1317 N Elm St, Suite 1b, Greensboro, NC 27401 Phone: 336-274-4285 Fax: 336-268-9062

Freeman Randolph Jackson, MD - Medicare Radiology in Greensboro, NC