Jackson Walters, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Columbus, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice The Columbus Orthopaedic Clinic, P.a. and his current practice location is
670 Leigh Dr, Columbus, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 328-1012.
Jackson Walters is licensed to practice in Mississippi (license number 22184) 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 1124274733.
Physician's Profile
Full Name | Jackson Walters |
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Gender | Male |
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Speciality | Anesthesiology |
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Experience | 16 Years |
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Location | 670 Leigh Dr, Columbus, Mississippi |
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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:
- Jackson Walters attended and graduated from University Of Mississippi School Of Medicine in 2008
NPI Data:
- NPI Number: 1124274733
- Provider Enumeration Date: 08/14/2008
- Last Update Date: 12/09/2019
Medicare PECOS Information:
- PECOS PAC ID: 8325281587
- Enrollment ID: I20130909000171
Medical Identifiers
Medical identifiers for Jackson Walters such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124274733 | NPI | - | NPPES |
07800068 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207LP2900X | Anesthesiology - Pain Medicine | 22184 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
The Columbus Orthopaedic Clinic, P.a. | 5890751945 | 29 |
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. Jackson Walters allows following entities to bill medicare on his behalf.
Entity Name | The Columbus Orthopaedic Clinic, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740287374 PECOS PAC ID: 5890751945 Enrollment ID: O20110331000380 |
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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. Jackson Walters 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 |
Jackson Walters, MD 670 Leigh Dr, Columbus, MS 39705-3014 Ph: (662) 328-1012 | Jackson Walters, MD 670 Leigh Dr, Columbus, MS 39705-3014 Ph: (662) 328-1012 |
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