Claudine Jacqueline Jackson, OD in Duluth, MN - Medicare Optometrist Provider

Claudine Jacqueline Jackson, OD is a medicare enrolled "Optometrist" provider in Duluth, Minnesota. Her current practice location is 4920 Grand Ave, Duluth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 522-4412.

Claudine Jacqueline Jackson is licensed to practice in Pennsylvania (license number OET008991) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659388114.

Contact Information

	Claudine Jacqueline Jackson, OD
	4920 Grand Ave, Duluth, MN 55807-2604
	(218) 522-4412
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Claudine Jacqueline Jackson
Gender	Female
Speciality	Optometrist
Location	4920 Grand Ave, Duluth, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659388114
Provider Enumeration Date: 08/01/2006
Last Update Date: 03/06/2023

Medicare PECOS Information:

PECOS PAC ID: 9931537776
Enrollment ID: I20200310001374

Medical Identifiers

Medical identifiers for Claudine Jacqueline Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659388114	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	TPOP64 (Florida)	Secondary
152W00000X	Optometrist	3861-35 (Wisconsin)	Secondary
152W00000X	Optometrist	3690 (Minnesota)	Secondary
152W00000X	Optometrist	009081 (New York)	Secondary
152W00000X	Optometrist	OET008991 (Pennsylvania)	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. Claudine Jacqueline Jackson allows following entities to bill medicare on her behalf.

Provider Name	Crystal Eyewear Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770068645 PECOS PAC ID: 5799023271 Enrollment ID: O20190207001143

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. Claudine Jacqueline 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
Claudine Jacqueline Jackson, OD 6 E Eppley Dr, Carlisle, PA 17013-4378 Ph: (717) 240-0311	Claudine Jacqueline Jackson, OD 4920 Grand Ave, Duluth, MN 55807-2604 Ph: (218) 522-4412

Reviews and Comments

Optometrist in Duluth, MN

Dr. Melissa Marie Kuntz, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2510 Maple Grove Rd, Duluth, MN 55811 Phone: 218-722-2712 Fax: 218-722-2712
Blink Optometry, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 310 E Superior St Ste 150, Duluth, MN 55802 Phone: 651-587-9355
Janelle Stephanie Strom, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 801 W Central Entrance, Duluth, MN 55811 Phone: 218-727-7163
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5115 Burning Tree Rd Ste 311, Duluth, MN 55811 Phone: 218-481-6027 Fax: 218-722-0286
Frank C. Munns O.d. L.t.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1600 Miller Trunk Hwy, Duluth, MN 55811 Phone: 218-725-0204 Fax: 218-722-8873
Erin Christine Pangerl, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1600 Miller Trunk Hwy, Duluth, MN 55811 Phone: 218-727-2340
Dr. Frank Clark Munns, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1600 Miller Trunk Hwy, Duluth, MN 55811 Phone: 218-725-0204

Claudine Jacqueline Jackson, OD - Medicare Optometrist in Duluth, MN