Rosalind J Jackson, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Miamisburg, Ohio. She went to Wright State University Boonshoft School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Total Health And Wellness Obgyn Llc and her current practice location is
4000 Miamisburg Centerville Rd, Ste. 200, Miamisburg, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 293-5200.
Rosalind J Jackson is licensed to practice in Ohio (license number 35071571) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134125123.
Physician's Profile
| Full Name | Rosalind J Jackson |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 29 Years |
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| Location | 4000 Miamisburg Centerville Rd, Miamisburg, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Rosalind J Jackson attended and graduated from Wright State University Boonshoft School Of Medicine in 1995
NPI Data:
- NPI Number: 1134125123
- Provider Enumeration Date: 06/23/2005
- Last Update Date: 04/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567568645
- Enrollment ID: I20070507000288
Medical Identifiers
Medical identifiers for Rosalind J Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134125123 | NPI | - | NPPES |
| 160056974 | Other | OH | MEDICARE RAILROAD |
| 000000275787 | Other | OH | ANTHEM |
| 2789692 | Other | OH | AETNA |
| 2238322 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 35071571 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Total Health And Wellness Obgyn Llc | 1153565114 | 2 |
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. Rosalind J Jackson allows following entities to bill medicare on her behalf.
| Entity Name | Total Health & Wellness Obgyn Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164855672
PECOS PAC ID: 1153565114
Enrollment ID: O20130913000418 |
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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. Rosalind J 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 |
|---|
Rosalind J Jackson, MD
2110 Leiter Rd,
Miamisburg, OH 45342-3660
Ph: (937) 384-4841 | Rosalind J Jackson, MD
4000 Miamisburg Centerville Rd, Ste. 200,
Miamisburg, OH 45342-7615
Ph: (937) 293-5200 |
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