Roosevelt T Jackson Jr, MD - Medicare Family Medicine in Riviera Beach, FL

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Roosevelt T Jackson Jr, MD is a medicare enrolled "Family Medicine" physician in Riviera Beach, Florida. His current practice location is 31 W 20th St Ste 100, Riviera Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (561) 510-0471.

Roosevelt T Jackson Jr is licensed to practice in Florida (license number ME45529) 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 1295951374.

Contact Information

Roosevelt T Jackson Jr, MD
31 W 20th St Ste 100,
Riviera Beach, FL 33404-6155
(561) 510-0471
(561) 331-2715

Map and Direction




Physician's Profile

Full NameRoosevelt T Jackson Jr
GenderMale
SpecialityFamily Medicine
Location31 W 20th St Ste 100, Riviera Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295951374
  • Provider Enumeration Date: 04/17/2007
  • Last Update Date: 12/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8729169081
  • Enrollment ID: I20200422002474

Medical Identifiers

Medical identifiers for Roosevelt T Jackson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295951374NPI-NPPES
043150800MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME45529 (Florida)Primary
207W00000XOphthalmology ME45529 (Florida)Secondary
207P00000XEmergency Medicine ME45529 (Florida)Secondary
207QA0401XFamily Medicine - Addiction Medicine ME45529 (Florida)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. Roosevelt T Jackson Jr allows following entities to bill medicare on his behalf.
Entity NameThe Counseling Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447892658
PECOS PAC ID: 0547681116
Enrollment ID: O20200608000559
Entity NameRiviera Beach Integrated Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841812021
PECOS PAC ID: 0840613360
Enrollment ID: O20200630003396

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. Roosevelt T Jackson Jr 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 AddressPractice Location Address
Roosevelt T Jackson Jr, MD
133 N State Road 7,
Plantation, FL 33317-3100

Ph: (754) 244-5132		Roosevelt T Jackson Jr, MD
31 W 20th St Ste 100,
Riviera Beach, FL 33404-6155

Ph: (561) 510-0471

Reviews and Comments


Family Medicine Doctors in Riviera Beach, FL

Monica Walker, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4152 W Blue Heron Blvd, 123, Riviera Beach, FL 33404
Phone: 561-844-7699    
Dr. Jerome Haym, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 7305 N Military Trl, Primary Care (110), Riviera Beach, FL 33410
Phone: 561-422-7577    Fax: 561-422-7615
Celeste June Li, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7289 Garden Rd, Suite 200, Riviera Beach, FL 33404
Phone: 561-804-7900    Fax: 561-804-7901
Dr. Michael Sasoni, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7305 N Military Trl, Primary Care (110), Riviera Beach, FL 33410
Phone: 561-422-7577    Fax: 561-422-7615
Berline Douze,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1955 Marsh Harbor Dr, Riviera Beach, FL 33404
Phone: 954-305-5405    
Dr. Sonia N Melwani, D.O
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 7305 N Military Trl, Riviera Beach, FL 33410
Phone: 561-422-6838    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.