Mr Melvin L Jackson, MD in Los Angeles, CA - Medicare Emergency Medicine

Mr Melvin L Jackson, MD is a medicare enrolled "Emergency Medicine" physician in Los Angeles, California. His current practice location is 1225 Wilshire Boulevard, Good Samaritan Hospital, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 977-2423.

Mr Melvin L Jackson is licensed to practice in California (license number G32876) 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 1922049295.

Contact Information

	Mr Melvin L Jackson, MD
	1225 Wilshire Boulevard, Good Samaritan Hospital, Los Angeles, CA 90017-2395
	(213) 977-2423
	(213) 202-7028

Map and Direction

Physician's Profile

Full Name	Mr Melvin L Jackson
Gender	Male
Speciality	Emergency Medicine
Location	1225 Wilshire Boulevard, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922049295
Provider Enumeration Date: 06/09/2006
Last Update Date: 02/27/2009

Medicare PECOS Information:

PECOS PAC ID: 6002714037
Enrollment ID: I20031229000529

Medical Identifiers

Medical identifiers for Mr Melvin L Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922049295	NPI	-	NPPES
G32876	Other	CA	BLUE CROSS
00G328760	Other		BLUE SHIELD
00G328760	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	G32876 (California)	Primary
207R00000X	Internal Medicine	G32876 (California)	Secondary

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. Mr Melvin L Jackson allows following entities to bill medicare on his behalf.

Entity Name	Montclair Emergency Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316044696 PECOS PAC ID: 8022019702 Enrollment ID: O20070123000593

Entity Name	San Dimas Emergency Medical Associates Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720239460 PECOS PAC ID: 0648334235 Enrollment ID: O20090127000007

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. Mr Melvin L 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
Mr Melvin L Jackson, MD 2550 North Hollywood Way, Suite 204, Burbank, CA 91505-5040 Ph: (818) 557-0135	Mr Melvin L Jackson, MD 1225 Wilshire Boulevard, Good Samaritan Hospital, Los Angeles, CA 90017-2395 Ph: (213) 977-2423

Reviews and Comments

Emergency Medicine Doctors in Los Angeles, CA

Dr. Tiffany Hackett, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd., Los Angeles, CA 90048 Phone: 310-967-1884 Fax: 310-967-1744
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Phillip Gruber, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-6667
Daniel Weingrow, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-2111
Brian Truong, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 924 Westwood Blvd, Suite 300, Los Angeles, CA 90095 Phone: 310-794-0585
Emily Michele Johnson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-9922

Mr Melvin L Jackson, MD - Medicare Emergency Medicine in Los Angeles, CA