William Jackson, MD - Medicare Family Medicine in Payette, ID

William Jackson, MD is a medicare enrolled "Family Medicine" physician in Payette, Idaho. His current practice location is 1441 Ne 10th Ave, Payette, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 642-9376.

William Jackson is licensed to practice in Idaho (license number M-14093) 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 1740530302.

Contact Information

William Jackson, MD
1441 Ne 10th Ave,
Payette, ID 83661-5420
(208) 642-9376
(208) 642-9279

Map and Direction




Physician's Profile

Full NameWilliam Jackson
GenderMale
SpecialityFamily Medicine
Location1441 Ne 10th Ave, Payette, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740530302
  • Provider Enumeration Date: 09/11/2012
  • Last Update Date: 04/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2769636661
  • Enrollment ID: I20130130000323

Medical Identifiers

Medical identifiers for William Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740530302NPI-NPPES
M-14093OtherIDSTATE OF IDAHO MEDICAL LICENSE
MD187049OtherORSTATE OF OREGON, MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD187049 (Oregon)Secondary
207Q00000XFamily Medicine M-14093 (Idaho)Primary

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. William Jackson allows following entities to bill medicare on his behalf.
Entity NameAshley Valley Physician Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740482025
PECOS PAC ID: 4284683947
Enrollment ID: O20050119001166

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. William 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 AddressPractice Location Address
William Jackson, MD
1441 Ne 10th Ave,
Payette, ID 83661-5420

Ph: (208) 642-9376
William Jackson, MD
1441 Ne 10th Ave,
Payette, ID 83661-5420

Ph: (208) 642-9376

Reviews and Comments


Family Medicine Doctors in Payette, ID

Graceful Iris Morris, FNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1000 S 16th St # C, Payette, ID 83661
Phone: 208-642-9222    
Shannon D. Schantz, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1441 Ne 10th Ave, Payette, ID 83661
Phone: 208-642-9376    Fax: 208-642-9598
Yvette Rene Sweet, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1441 Ne 10th Ave, Payette, ID 83661
Phone: 208-642-9376    Fax: 208-642-9598
Dr. Ronald Eugene Carroll, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 823 Center Ave, Payette, ID 83661
Phone: 208-642-3396    Fax: 208-642-9060
Joann E Buhr Cote, DNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 823 Center Ave, Payette, ID 83661
Phone: 208-642-3396    Fax: 208-642-9060

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.