Jennifer Marie Jackson, MD in Winston-salem, NC

Jennifer Marie Jackson, MD is a medicare enrolled "Pediatrics" physician in Winston-salem, North Carolina. Her current practice location is Medical Center Blvd, Winston-salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 716-2255.

Jennifer Marie Jackson is licensed to practice in North Carolina (license number 2007-00654) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487865838.

Contact Information

	Jennifer Marie Jackson, MD
	Medical Center Blvd, Winston-salem, NC 27157-0001
	(336) 716-2255
	Not Available

Map and Direction

Physician's Profile

Full Name	Jennifer Marie Jackson
Gender	Female
Speciality	Pediatrics
Location	Medical Center Blvd, Winston-salem, 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: 1487865838
Provider Enumeration Date: 05/25/2007
Last Update Date: 03/29/2011

Medicare PECOS Information:

PECOS PAC ID: 8820189517
Enrollment ID: I20070809000614

Medical Identifiers

Medical identifiers for Jennifer Marie Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487865838	NPI	-	NPPES
5907036	Medicaid	NC
3810009251	Medicaid	WV
Q00651	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2007-00654 (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. Jennifer Marie Jackson allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

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. Jennifer Marie 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
Jennifer Marie Jackson, MD Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255	Jennifer Marie Jackson, MD Medical Center Blvd, Winston-salem, NC 27157-0001 Ph: (336) 716-2255

Reviews and Comments

Pediatrics Doctors in Winston-salem, NC

Jon Stuart Abramson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-2255
W. Wayne Franklin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 250 Charlois Blvd, Winston-salem, NC 27103 Phone: 336-718-1002 Fax: 336-718-1058
Marguerite T Tennille, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2808 Maplewood Ave, Winston-salem, NC 27103 Phone: 336-765-9000 Fax: 336-765-5702
Elizabeth Cobey Allen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-2255
Dr. Sarah Nicole Cilvik, MD,PHD Pediatrics Medicare: Medicare Enrolled Practice Location: Medical Center Boulevard, Department Of Pediatrics, Winston-salem, NC 27157 Phone: 314-413-0567
Lisa Katheryn Washburn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-2255

Jennifer Marie Jackson, MD - Medicare Pediatrics in Winston-salem, NC