Thomas Miles Jackson, MD is a medicare enrolled "Surgery" physician in La Junta, Colorado. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1984 and has 40 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Arkansas Valley Regional Medical Center and his current practice location is
2201 San Juan Ave, La Junta, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 384-8181.
Thomas Miles Jackson is licensed to practice in Colorado (license number DR48817) 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 1598765083.
Physician's Profile
Full Name | Thomas Miles Jackson |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 40 Years |
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Location | 2201 San Juan Ave, La Junta, Colorado |
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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:
- Thomas Miles Jackson attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1984
NPI Data:
- NPI Number: 1598765083
- Provider Enumeration Date: 07/26/2005
- Last Update Date: 05/12/2010
Medicare PECOS Information:
- PECOS PAC ID: 1951341288
- Enrollment ID: I20100811000358
Medical Identifiers
Medical identifiers for Thomas Miles Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598765083 | NPI | - | NPPES |
100131110B | Medicaid | KS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 04-21320 (Kansas) | Secondary |
208600000X | Surgery | 5568 (Alaska) | Secondary |
208600000X | Surgery | DR48817 (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Arkansas Valley Regional Medical Center | 9436062833 | 13 |
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. Thomas Miles Jackson allows following entities to bill medicare on his behalf.
Entity Name | Arkansas Valley Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649449075 PECOS PAC ID: 9436062833 Enrollment ID: O20031111000685 |
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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. Thomas Miles 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 |
Thomas Miles Jackson, MD 1100 Carson Ave, La Junta, CO 81050-2751 Ph: (719) 383-5142 | Thomas Miles Jackson, MD 2201 San Juan Ave, La Junta, CO 81050-3323 Ph: (719) 384-8181 |
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