Kirk Raymond Jackson Jr, MD in Philadelphia, PA

Kirk Raymond Jackson Jr, MD is a medicare enrolled "Anesthesiology" physician in Philadelphia, Pennsylvania. He went to Baylor College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Baylor College Of Medicine and his current practice location is 3400 Spruce St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 662-6156.

Kirk Raymond Jackson Jr is licensed to practice in Texas (license number Q7891) 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 1053603886.

Contact Information

	Kirk Raymond Jackson Jr, MD
	3400 Spruce St, Philadelphia, PA 19104-4206
	(215) 662-6156
	Not Available

Map and Direction

Physician's Profile

Full Name	Kirk Raymond Jackson Jr
Gender	Male
Speciality	Anesthesiology
Experience	13 Years
Location	3400 Spruce St, Philadelphia, Pennsylvania
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:

Kirk Raymond Jackson Jr attended and graduated from Baylor College Of Medicine in 2011

NPI Data:

NPI Number: 1053603886
Provider Enumeration Date: 05/12/2011
Last Update Date: 04/20/2017

Medicare PECOS Information:

PECOS PAC ID: 7416234067
Enrollment ID: I20170508002257

Medical Identifiers

Medical identifiers for Kirk Raymond Jackson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053603886	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	Q7891 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Chi St Luke's Health Baylor College Of Medicine Me	Houston, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baylor College Of Medicine	8022243971	918

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. Kirk Raymond Jackson Jr allows following entities to bill medicare on his behalf.

Entity Name	Baylor College Of Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053352914 PECOS PAC ID: 8224941265 Enrollment ID: O20031106000562

Entity Name	Baylor St Lukes Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740485879 PECOS PAC ID: 9133213192 Enrollment ID: O20070920000863

Entity Name	Baylor College Of Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881026664 PECOS PAC ID: 8022243971 Enrollment ID: O20131030000972

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. Kirk Raymond Jackson Jr 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
Kirk Raymond Jackson Jr, MD 3400 Spruce St, Philadelphia, PA 19104-4206 Ph: (215) 662-6156	Kirk Raymond Jackson Jr, MD 3400 Spruce St, Philadelphia, PA 19104-4206 Ph: (215) 662-6156

Reviews and Comments

Anesthesiology Doctors in Philadelphia, PA

Priscilla Nelson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 6 Dulles, Philadelphia, PA 19104 Phone: 215-349-8310
Nicole Lynn Renaldi, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 8490, Philadelphia, PA 19107 Phone: 215-955-6161 Fax: 215-923-5507
Monique Lorraine Roberts, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-4000
Sarah Kumar, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-349-8310 Fax: 215-893-7270
Akshat Gargya, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Department Of Anesthesiology Temple University Hospital, Philadelphia, PA 19140 Phone: 847-660-4085
Aaron William Montani, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-2000
Kathleen M Veloso, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664

Kirk Raymond Jackson Jr, MD - Medicare Anesthesiology in Philadelphia, PA