Randolph Thomas Jackson, MD in Kansas City, KS

Randolph Thomas Jackson, MD is a medicare enrolled "Ophthalmology" physician in Kansas City, Kansas. He went to Medical College Of Georgia School Of Medicine and graduated in 2000 and has 25 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Eye Care Llc, Eye Care Llc and his current practice location is 11010 Haskell Ave, Kansas City, Kansas. You can reach out to his office (for appointments etc.) via phone at (816) 478-1230.

Randolph Thomas Jackson is licensed to practice in Kansas (license number 31896) 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 1457310518.

Contact Information

	Randolph Thomas Jackson, MD
	11010 Haskell Ave, Kansas City, KS 66109-8500
	(816) 478-1230
	(816) 350-4166

Map and Direction

Physician's Profile

Full Name	Randolph Thomas Jackson
Gender	Male
Speciality	Ophthalmology
Experience	25 Years
Location	11010 Haskell Ave, Kansas City, Kansas
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:

Randolph Thomas Jackson attended and graduated from Medical College Of Georgia School Of Medicine in 2000

NPI Data:

NPI Number: 1457310518
Provider Enumeration Date: 03/18/2006
Last Update Date: 05/07/2009

Medicare PECOS Information:

PECOS PAC ID: 8022080324
Enrollment ID: I20070518000384

Medical Identifiers

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

Identifier	Type	State	Issuer
1457310518	NPI	-	NPPES
P00685107	Other	KS	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	46566 (Minnesota)	Secondary
207W00000X	Ophthalmology	10506 (Montana)	Secondary
207W00000X	Ophthalmology	31896 (Kansas)	Primary
207W00000X	Ophthalmology	2006012805 (Missouri)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eye Care Llc	4385544600	35
Eye Care Llc	4385544600	35

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. Randolph Thomas Jackson allows following entities to bill medicare on his behalf.

Entity Name	Eye Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609066034 PECOS PAC ID: 4385544600 Enrollment ID: O20040204000494

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. Randolph Thomas 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
Randolph Thomas Jackson, MD 4801 S Cliff Ave, Suite 100, Independence, MO 64055-7015 Ph: (816) 350-4536	Randolph Thomas Jackson, MD 11010 Haskell Ave, Kansas City, KS 66109-8500 Ph: (816) 478-1230

Reviews and Comments

Ophthalmology Doctors in Kansas City, KS

Martin A Mainster, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-6605 Fax: 913-588-0888
Dr. Neeti Alapati, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4000 Cambridge St, Kansas City, KS 66160 Phone: 913-588-6600 Fax: 913-588-6651
Karl D Hendricks, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8919 Parallel Pkwy, Ste 226, Kansas City, KS 66112 Phone: 913-299-8800 Fax: 913-299-6581
Dr. Anne Berenbom Wishna, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4000 Cambridge St, Kansas City, KS 66160 Phone: 913-588-1227
Nikki Gill, Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160 Phone: 913-588-3974
Maya Ramachandran, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd # Ms 2027, Kansas City, KS 66160 Phone: 913-588-3974
Gurinder Singh, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 155 South 18th Street, Suite 220, Kansas City, KS 66102 Phone: 913-321-7327 Fax: 913-321-3168

Randolph Thomas Jackson, MD - Medicare Ophthalmology in Kansas City, KS