Taylor Kiyota Jackson, OD - Medicare Optometrist in Frederick, CO

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Taylor Kiyota Jackson, OD is a medicare enrolled "Optometrist" provider in Frederick, Colorado. She went to Southern California College Of Optometry and graduated in 2020 and has 4 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Carbon Valley Eye Care and her current practice location is 5900 Keyes St Ste 101, Frederick, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 833-1056.

Taylor Kiyota Jackson is licensed to practice in Colorado (license number OPT0003599) 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 1275158404.

Contact Information

Taylor Kiyota Jackson, OD
5900 Keyes St Ste 101,
Frederick, CO 80504-5956
(303) 833-1056
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTaylor Kiyota Jackson
GenderFemale
SpecialityOptometry
Experience4 Years
Location5900 Keyes St Ste 101, Frederick, Colorado
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Taylor Kiyota Jackson attended and graduated from Southern California College Of Optometry in 2020
  NPI Data:
  • NPI Number: 1275158404
  • Provider Enumeration Date: 06/13/2020
  • Last Update Date: 05/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7315361839
  • Enrollment ID: I20200716003074

Medical Identifiers

Medical identifiers for Taylor Kiyota Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275158404NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OPT0003599 (Colorado)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carbon Valley Eye Care15575855283

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. Taylor Kiyota Jackson allows following entities to bill medicare on her behalf.
Provider NameLisa M Hamilton, Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1033320361
PECOS PAC ID: 8426156175
Enrollment ID: O20070605000075
Provider NameCarbon Valley Eye Care
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1235558065
PECOS PAC ID: 1557585528
Enrollment ID: O20141112001014

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. Taylor Kiyota 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
Taylor Kiyota Jackson, OD
6408 Dry Fork Dr,
Frederick, CO 80516-9510

Ph: (303) 921-2307		Taylor Kiyota Jackson, OD
5900 Keyes St Ste 101,
Frederick, CO 80504-5956

Ph: (303) 833-1056

Reviews and Comments


Optometrist in Frederick, CO

Carbon Valley Eye Care
Optometrist
Medicare: Medicare Enrolled
Practice Location: 5900 Keyes St Ste 101, Frederick, CO 80504
Phone: 303-833-1056    Fax: 303-833-1057
Mr. Michael Edward Koditek, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 5900 Keyes St Ste 101, Frederick, CO 80504
Phone: 303-833-1056    Fax: 303-833-1057
Dr. Jeffrey Berger, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 5900 Keyes St Ste 101, Frederick, CO 80504
Phone: 303-833-1056    

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.