Kendra Joy Jackson, MD in Baltimore, MD

Kendra Joy Jackson, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Baltimore, Maryland. Her current practice location is 1800 Orleans St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 955-5000.

Kendra Joy Jackson is licensed to practice in Maryland (license number D0099966) 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 1649776469.

Contact Information

	Kendra Joy Jackson, MD
	1800 Orleans St, Baltimore, MD 21287-0010
	(410) 955-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Kendra Joy Jackson
Gender	Female
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	1800 Orleans St, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649776469
Provider Enumeration Date: 04/02/2018
Last Update Date: 09/06/2024

Medicare PECOS Information:

PECOS PAC ID: 5496002552
Enrollment ID: I20210803003122

Medical Identifiers

Medical identifiers for Kendra Joy Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649776469	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	D0099966 (Maryland)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	D0099966 (Maryland)	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. Kendra Joy Jackson allows following entities to bill medicare on her behalf.

Entity Name	Carolinas Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116

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. Kendra Joy 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
Kendra Joy Jackson, MD 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-6423	Kendra Joy Jackson, MD 1800 Orleans St, Baltimore, MD 21287-0010 Ph: (410) 955-5000

Reviews and Comments

Pediatrics Doctors in Baltimore, MD

Hilary Tamara Wolf, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-7373 Fax: 410-328-7305
Dr. Carmel Bogle, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1800 Orleans St, Baltimore, MD 21287 Phone: 443-287-0526 Fax: 410-955-0897
Anna Eunjoo Choe, Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Wolfe St Rm Wb602, Baltimore, MD 21205 Phone: 410-955-3362 Fax: 410-614-1582
Dr. Melissa Lauren Shapiro, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2411 W Belvedere Ave Ste 407, Baltimore, MD 21215 Phone: 410-601-8663
Dr. Alexander James Jaksic, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 781-223-0948
Adam J Spanier, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Armory Pl, Baltimore, MD 21201 Phone: 410-225-8780 Fax: 410-225-8766
Milagritos D Tapia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-6749 Fax: 410-328-6136

Kendra Joy Jackson, MD - Medicare Pediatrics in Baltimore, MD