Mia Leigh Jackson, MD - Medicare Diagnostic Radiology in St Petersburg, FL

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Mia Leigh Jackson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in St Petersburg, Florida. She went to Emory University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Baycare Outpatient Imaging Llc, Stern Drake Isbell And Associates Pa, St Josephs Diagnostic Center Llc and her current practice location is 2191 9th Ave N Ste 120, St Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 954-6519.

Mia Leigh Jackson is licensed to practice in Florida (license number ME109939) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861679870.

Contact Information

Mia Leigh Jackson, MD
2191 9th Ave N Ste 120,
St Petersburg, FL 33713-7147
(727) 954-6519
(727) 954-6524

Map and Direction




Physician's Profile

Full NameMia Leigh Jackson
GenderFemale
SpecialityDiagnostic Radiology
Experience19 Years
Location2191 9th Ave N Ste 120, St Petersburg, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mia Leigh Jackson attended and graduated from Emory University School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1861679870
  • Provider Enumeration Date: 01/22/2008
  • Last Update Date: 06/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5496948788
  • Enrollment ID: I20110923000285

Medical Identifiers

Medical identifiers for Mia Leigh Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861679870NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 002024 (Georgia)Secondary
2085R0202XRadiology - Diagnostic Radiology ME109939 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Josephs HospitalTampa, FLHospital
South Florida Baptist HospitalPlant city, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baycare Outpatient Imaging Llc357780408773
Stern Drake Isbell And Associates Pa377948083557
St Josephs Diagnostic Center Llc377948492881

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. Mia Leigh Jackson allows following entities to bill medicare on her behalf.
Entity NameStern Drake Isbell & Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215903398
PECOS PAC ID: 3779480835
Enrollment ID: O20031217000029
Entity NameSt Josephs Diagnostic Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558342998
PECOS PAC ID: 3779484928
Enrollment ID: O20040120000332
Entity NameWomens Care Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013902923
PECOS PAC ID: 9234031444
Enrollment ID: O20040127000078
Entity NameBaycare Outpatient Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417423377
PECOS PAC ID: 3577804087
Enrollment ID: O20190410002311

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. Mia Leigh 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 AddressPractice Location Address
Mia Leigh Jackson, MD
Po Box 748817,
Atlanta, GA 30374-8817

Ph: (813) 286-0033		Mia Leigh Jackson, MD
2191 9th Ave N Ste 120,
St Petersburg, FL 33713-7147

Ph: (727) 954-6519

Reviews and Comments


Radiology Doctors in St Petersburg, FL

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Dr. Matthew J Rahaim, MD
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Dr. Lowell Dean Dawson, M.D.
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Phone: 727-893-6435    Fax: 727-893-6436
Sally E Mitchell, M.D.
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Practice Location: 501 6th Ave S, St Petersburg, FL 33701
Phone: 727-767-3318    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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