Jeffrey Luke Jackson, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Fleming Island, Florida. He went to Barry University School Of Podiatric Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Jande Jackson Enterprises, Pllc and his current practice location is
1677 Eagle Harbor Pkwy, Suite C, Fleming Island, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 278-5112.
Jeffrey Luke Jackson is licensed to practice in Florida (license number PO3675) 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 1548412992.
Healthcare Provider's Profile
| Full Name | Jeffrey Luke Jackson |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 17 Years |
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| Location | 1677 Eagle Harbor Pkwy, Fleming Island, Florida |
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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. |
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Medical Education and Training:
- Jeffrey Luke Jackson attended and graduated from Barry University School Of Podiatric Medicine in 2007
NPI Data:
- NPI Number: 1548412992
- Provider Enumeration Date: 10/16/2008
- Last Update Date: 10/05/2015
Medicare PECOS Information:
- PECOS PAC ID: 4082870266
- Enrollment ID: I20160106002033
Medical Identifiers
Medical identifiers for Jeffrey Luke Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548412992 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO3675 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Jande Jackson Enterprises, Pllc | 0345541314 | 2 |
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. Jeffrey Luke Jackson allows following entities to bill medicare on his behalf.
| Provider Name | J&e Jackson Enterprises, Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1346625522
PECOS PAC ID: 0345541314
Enrollment ID: O20151216000758 |
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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. Jeffrey Luke 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 |
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Jeffrey Luke Jackson, DPM
1677 Eagle Harbor Pkwy C,
Fleming Island, FL 32003-4802
Ph: (904) 278-5112 | Jeffrey Luke Jackson, DPM
1677 Eagle Harbor Pkwy, Suite C,
Fleming Island, FL 32003-4802
Ph: (904) 278-5112 |
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