Tracy A Jackson, OD - Medicare Optometrist in Waconia, MN

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Tracy A Jackson, OD is a medicare enrolled "Optometrist" provider in Waconia, Minnesota. She went to Ohio State University - College Of Optometry and graduated in 1994 and has 30 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Lakeview Clinic, Ltd. and her current practice location is 424 W State Highway 5, Waconia, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 442-4461.

Tracy A Jackson is licensed to practice in Minnesota (license number 2905) 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 1821177692.

Contact Information

Tracy A Jackson, OD
424 W State Highway 5,
Waconia, MN 55387-1723
(952) 442-4461
(952) 442-1218

Map and Direction




Healthcare Provider's Profile

Full NameTracy A Jackson
GenderFemale
SpecialityOptometry
Experience30 Years
Location424 W State Highway 5, Waconia, Minnesota
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:
  • Tracy A Jackson attended and graduated from Ohio State University - College Of Optometry in 1994
  NPI Data:
  • NPI Number: 1821177692
  • Provider Enumeration Date: 11/03/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9739174947
  • Enrollment ID: I20040417000067

Medical Identifiers

Medical identifiers for Tracy A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821177692NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2905 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lakeview Clinic, Ltd.600280145355

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. Tracy A Jackson allows following entities to bill medicare on her behalf.
Provider NameLakeview Clinic, Ltd.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1669599981
PECOS PAC ID: 6002801453
Enrollment ID: O20040416000213

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. Tracy A 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
Tracy A Jackson, OD
424 W State Highway 5,
Waconia, MN 55387-1723

Ph: (952) 442-4461		Tracy A Jackson, OD
424 W State Highway 5,
Waconia, MN 55387-1723

Ph: (952) 442-4461

Reviews and Comments


Optometrist in Waconia, MN

Dr. Robert Eugene Swanson, O.D.
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Bradley J Ludwig, O.D.
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Practice Location: 424 W State Highway 5, Waconia, MN 55387
Phone: 952-442-4461    Fax: 952-442-1218
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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.