Randy Alan Jackson, MD in Texarkana, TX

Randy Alan Jackson, MD is a medicare enrolled "Internal Medicine" physician in Texarkana, Texas. He went to University Of Texas Medical School At Houston and graduated in 2005 and has 19 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Hospitalist Medicine Physicians Of Texas Pllc, North Texas Physician Services, Pllc and his current practice location is 2602 Saint Michael Dr, Suite 205, Texarkana, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 614-5111.

Randy Alan Jackson is licensed to practice in Texas (license number N0854) 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 1689832768.

Contact Information

	Randy Alan Jackson, MD
	2602 Saint Michael Dr, Suite 205, Texarkana, TX 75503-2387
	(903) 614-5111
	Not Available

Map and Direction

Physician's Profile

Full Name	Randy Alan Jackson
Gender	Male
Speciality	Hospitalist
Experience	19 Years
Location	2602 Saint Michael Dr, Texarkana, Texas
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:

Randy Alan Jackson attended and graduated from University Of Texas Medical School At Houston in 2005

NPI Data:

NPI Number: 1689832768
Provider Enumeration Date: 05/27/2008
Last Update Date: 05/26/2009

Medicare PECOS Information:

PECOS PAC ID: 6608932348
Enrollment ID: I20090305000084

Medical Identifiers

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

Identifier	Type	State	Issuer
1689832768	NPI	-	NPPES
200544901	Medicaid	TX
8BU284	Other	TX	BCBS OF TEXAS
176329001	Medicaid	AR
200235880 A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	N0854 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Heritage Hospice Of Texarkana Llc	Texarkana, TX	Hospice
Christus St Michael Health System	Texarkana, TX	Hospital
Hillcrest Hospital South	Tulsa, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hospitalist Medicine Physicians Of Texas Pllc	3476688318	889
North Texas Physician Services, Pllc	6305295429	161

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. Randy Alan Jackson allows following entities to bill medicare on his behalf.

Entity Name	Cogent Healthcare Of Texas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992722953 PECOS PAC ID: 8628076924 Enrollment ID: O20061121000364

Entity Name	Hospitalist Medicine Physicians Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20100317001021

Entity Name	Hospitalist Medicine Physicians Of Texas - Texarkana, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720623440 PECOS PAC ID: 9739516881 Enrollment ID: O20200302000606

Entity Name	North Texas Physician Services, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992586150 PECOS PAC ID: 6305295429 Enrollment ID: O20231213004113

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. Randy Alan 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
Randy Alan Jackson, MD 7203 Bringle Rdg, Texarkana, TX 75503-5460 Ph: (903) 306-1185	Randy Alan Jackson, MD 2602 Saint Michael Dr, Suite 205, Texarkana, TX 75503-2387 Ph: (903) 614-5111

Reviews and Comments

Internal Medicine Doctors in Texarkana, TX

Dr. Douglas Scott Black, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1002 Texas Blvd, Suite 401, Texarkana, TX 75501 Phone: 903-794-8820 Fax: 903-794-8878
Charles Chibundu Mbonu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2604 St. Michael Drive, Suite 310, Texarkana, TX 75503 Phone: 903-614-5001 Fax: 903-614-5077
Jonathan F Thomas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525
Mrs. Michelle R Dehan, RN, ACNP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1550 Moores Ln, Texarkana, TX 75503 Phone: 903-793-7378
Job Jacob, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525
Jayendra D. Patel, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-614-2111 Fax: 903-614-6913
Dr. Thomas Alston, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1400 College Dr, Ste 202, Texarkana, TX 75503 Phone: 903-735-5330

Randy Alan Jackson, MD - Medicare Hospitalist in Texarkana, TX