Kenneth Dolen Jackson, MD in Kansas City, MO

Kenneth Dolen Jackson, MD is a medicare enrolled "Surgery" physician in Kansas City, Missouri. His current practice location is 930 Carondelet Dr, Suite 104, Kansas City, Missouri. You can reach out to his office (for appointments etc.) via phone at (816) 941-2222.

Kenneth Dolen Jackson is licensed to practice in Missouri (license number 2008033152) 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 1295898179.

Contact Information

	Kenneth Dolen Jackson, MD
	930 Carondelet Dr, Suite 104, Kansas City, MO 64114-4855
	(816) 941-2222
	(816) 941-2282

Map and Direction

Physician's Profile

Full Name	Kenneth Dolen Jackson
Gender	Male
Speciality	Surgery
Location	930 Carondelet Dr, Kansas City, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295898179
Provider Enumeration Date: 12/19/2006
Last Update Date: 10/15/2015

Medicare PECOS Information:

PECOS PAC ID: 6103047758
Enrollment ID: I20141023000698

Medical Identifiers

Medical identifiers for Kenneth Dolen Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295898179	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	9406666 (Kansas)	Secondary
208600000X	Surgery	2008033152 (Missouri)	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. Kenneth Dolen Jackson allows following entities to bill medicare on his behalf.

Entity Name	Prime Healthcare Kansas City - Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427449487 PECOS PAC ID: 7315267325 Enrollment ID: O20150514001835

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. Kenneth Dolen 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
Kenneth Dolen Jackson, MD 930 Carondelet Dr 201, Kansas City, MO 64114-4698 Ph: (816) 941-2222	Kenneth Dolen Jackson, MD 930 Carondelet Dr, Suite 104, Kansas City, MO 64114-4855 Ph: (816) 941-2222

Reviews and Comments

Surgery Doctors in Kansas City, MO

Steven L Glorsky, MD Surgery Medicare: Medicare Enrolled Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-1000
Mrs. Samantha Machen Alsop, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4320 Wornall Rd Ste 50, Kansas City, MO 64111 Phone: 816-931-3312 Fax: 816-531-9862
Karthik Vamanan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4320 Wornall Rd Ste 50, Kansas City, MO 64111 Phone: 816-931-3312 Fax: 816-531-9862
Dr. Ronald John Sharp, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3574 Fax: 816-983-6885
Ms. Rosa Elizabeth Turcios, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2330 E Meyer Blvd, Ste T209, Kansas City, MO 64132 Phone: 816-235-3932 Fax: 877-285-6815
Muzammil Aziz, MBBS Surgery Medicare: Accepting Medicare Assignments Practice Location: 4320 Wornall Rd Ste 50, Kansas City, MO 64111 Phone: 816-931-3312 Fax: 816-531-9862
Dr. Robert Rick Carter, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2750 Clay Edwards Dr, #304, Kansas City, MO 64116 Phone: 816-842-5555 Fax: 816-842-8888

Kenneth Dolen Jackson, MD - Medicare Surgery in Kansas City, MO