Mark F Jackson, MD is a medicare enrolled "Anesthesiology - Addiction Medicine" physician in Saint Augustine, Florida. His current practice location is
3930 Us 1 S, Saint Augustine, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 283-3568.
Mark F Jackson is licensed to practice in Florida (license number ME142795) 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 1255470209.
Physician's Profile
| Full Name | Mark F Jackson |
|---|
| Gender | Male |
|---|
| Speciality | Anesthesiology - Addiction Medicine |
|---|
| Location | 3930 Us 1 S, Saint Augustine, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1255470209
- Provider Enumeration Date: 02/06/2007
- Last Update Date: 08/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 1850462672
- Enrollment ID: I20191114002755
Medical Identifiers
Medical identifiers for Mark F Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255470209 | NPI | - | NPPES |
| 000000566553 | Other | | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 40009 (Kentucky) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | ME142795 (Florida) | Secondary |
| 207LA0401X | Anesthesiology - Addiction Medicine | ME142795 (Florida) | 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. Mark F Jackson allows following entities to bill medicare on his behalf.
| Entity Name | Simedhealth Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1639680127
PECOS PAC ID: 6608137054
Enrollment ID: O20180227000525 |
|---|
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. Mark F 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 |
|---|
Mark F Jackson, MD
4881 Nw 8th Ave, Suite 2,
Gainesville, FL 32605-4582
Ph: (352) 416-1082 | Mark F Jackson, MD
3930 Us 1 S,
Saint Augustine, FL 32086-7089
Ph: (352) 283-3568 |
Reviews and Comments