Robert E Jackson, MD in Boise, ID

Robert E Jackson, MD is a medicare enrolled "Urology" physician in Boise, Idaho. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Urology. He is a member of the group practice St Lukes Clinic-treasure Valley Llc and his current practice location is 520 S Eagle Rd, Suite 3112, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 381-2222.

Robert E Jackson is licensed to practice in Michigan (license number 4301087650) 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 1184740045.

Contact Information

	Robert E Jackson, MD
	520 S Eagle Rd, Suite 3112, Boise, ID 83712-6241
	(208) 381-2222
	Not Available

Map and Direction

Physician's Profile

Full Name	Robert E Jackson
Gender	Male
Speciality	Urology
Experience	18 Years
Location	520 S Eagle Rd, Boise, Idaho
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:

Robert E Jackson attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2006

NPI Data:

NPI Number: 1184740045
Provider Enumeration Date: 03/22/2007
Last Update Date: 12/13/2013

Medicare PECOS Information:

PECOS PAC ID: 9830347533
Enrollment ID: I20130305000587

Medical Identifiers

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

Identifier	Type	State	Issuer
1184740045	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	4301087650 (Michigan)	Primary
390200000X	Student In An Organized Health Care Education/training Program	4301087650 (Michigan)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Regional Medical Center	Boise, ID	Hospital
St Luke's Wood River Medical Center	Ketchum, ID	Hospital
St Luke's Nampa Medical Center	Nampa, ID	Hospital
St Lukes Magic Valley Medical Center	Twin falls, ID	Hospital
St Luke's Elmore Medical Center	Mountain home, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Lukes Clinic-treasure Valley Llc	4981878402	991

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. Robert E Jackson allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Clinic-treasure Valley Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

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. Robert E 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
Robert E Jackson, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222	Robert E Jackson, MD 520 S Eagle Rd, Suite 3112, Boise, ID 83712-6241 Ph: (208) 381-2222

Reviews and Comments

Urology Doctors in Boise, ID

Sean Patrick Stroup, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 510 N 2nd St Ste 103, Boise, ID 83702 Phone: 208-381-4700
Dr. Kara C Taggart, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 510 N 2nd St, Suite 103, Boise, ID 83702 Phone: 208-381-4700 Fax: 208-381-4977
Michele B Ebbers, MD Urology Medicare: Medicare Enrolled Practice Location: 305 E Jefferson St, Boise, ID 83712 Phone: 208-381-6196 Fax: 208-381-6199
Dr. Donald E Walker, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 701 E Parkcenter Blvd, Boise, ID 83706 Phone: 208-344-5757 Fax: 208-381-6526
Dr. Edwin Manley Briggs, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1316 Harrison Blvd, Boise, ID 83702 Phone: 208-345-5523 Fax: 208-389-4606
Dr. Stephen A. Brassell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Boise, ID 83712 Phone: 208-381-2222

Robert E Jackson, MD - Medicare Urology in Boise, ID