Pasha Jackson, MD in Richmond, CA - Medicare Family Practice

Pasha Jackson, MD is a medicare enrolled "Family Medicine" physician in Richmond, California. He graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sutter Bay Medical Foundation and his current practice location is 2970 Hilltop Mall Rd Ste 304, Richmond, California. You can reach out to his office (for appointments etc.) via phone at (510) 204-8090.

Pasha Jackson is licensed to practice in California (license number 1170636) 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 1487000790.

Contact Information

	Pasha Jackson, MD
	2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806
	(510) 204-8090
	(510) 506-7726

Map and Direction

Physician's Profile

Full Name	Pasha Jackson
Gender	Male
Speciality	Family Practice
Experience	10 Years
Location	2970 Hilltop Mall Rd Ste 304, Richmond, California
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:

Pasha Jackson graduated from medical school in 2015

NPI Data:

NPI Number: 1487000790
Provider Enumeration Date: 05/05/2016
Last Update Date: 12/13/2023

Medicare PECOS Information:

PECOS PAC ID: 8921348525
Enrollment ID: I20191024002876

Medical Identifiers

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

Identifier	Type	State	Issuer
1487000790	NPI	-	NPPES
A159813	Other	CA	STATE MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	1170636 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Alta Bates Summit Medical Center - Alta Bates Camp	Berkeley, CA	Hospital
Alta Bates Summit Medical Center	Oakland, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sutter Bay Medical Foundation	4284538778	2995

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. Pasha Jackson allows following entities to bill medicare on his behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

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. Pasha 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
Pasha Jackson, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (650) 845-7649	Pasha Jackson, MD 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 Ph: (510) 204-8090

Reviews and Comments

Family Medicine Doctors in Richmond, CA

Earl Clark Ii, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-742-1000
Rebecca Marie Clyde, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 Phone: 510-204-8090 Fax: 510-506-7726
Jan Diamond, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 Western Dr, Richmond, CA 94801 Phone: 415-609-5152
Yang M. Sun, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500
Dr. David Rafael Pichardo-gomez, MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 150 Harbour Way, Richmond, CA 94801 Phone: 510-981-4100
Pamela M. Valentine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500
Teshina Nicole Wilson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1030 Nevin Ave, Richmond, CA 94801 Phone: 510-215-5001 Fax: 510-215-1115

Pasha Jackson, MD - Medicare Family Practice in Richmond, CA