Dr Dorothy Louise Jackson, MD - Medicare Family Practice in Tyler, TX

Dr Dorothy Louise Jackson, MD is a medicare enrolled "Family Medicine" physician in Tyler, Texas. She went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 1987 and has 37 years of diverse experience with area of expertise as Family Practice. Her current practice location is 1114 W Bow St, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 595-5595.

Dr Dorothy Louise Jackson is licensed to practice in Texas (license number N1355) 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 1922071042.

Contact Information

Dr Dorothy Louise Jackson, MD
1114 W Bow St,
Tyler, TX 75702-5137
(903) 595-5595
(903) 595-5985

Map and Direction




Physician's Profile

Full NameDr Dorothy Louise Jackson
GenderFemale
SpecialityFamily Practice
Experience37 Years
Location1114 W Bow St, Tyler, Texas
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:
  • Dr Dorothy Louise Jackson attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 1987
  NPI Data:
  • NPI Number: 1922071042
  • Provider Enumeration Date: 02/09/2006
  • Last Update Date: 03/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7810059730
  • Enrollment ID: I20081230000449

Medical Identifiers

Medical identifiers for Dr Dorothy Louise Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922071042NPI-NPPES
199916104MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine N1355 (Texas)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. Dr Dorothy Louise Jackson allows following entities to bill medicare on her behalf.
Entity NamePhoenix Health Center Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295157337
PECOS PAC ID: 8426278185
Enrollment ID: O20140930002209
Entity NameGlutality Provider Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083256168
PECOS PAC ID: 9032549837
Enrollment ID: O20200806000054

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. Dr Dorothy Louise 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
Dr Dorothy Louise Jackson, MD
1114 W Bow St,
Tyler, TX 75702-5137

Ph: (903) 595-5595
Dr Dorothy Louise Jackson, MD
1114 W Bow St,
Tyler, TX 75702-5137

Ph: (903) 595-5595

Reviews and Comments


Family Medicine Doctors in Tyler, TX

Dr. John W Scroggins, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 8288 S Broadway Ave, Tyler, TX 75703
Phone: 903-606-7060    
Dr. James Kent Gray, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14843 Big Oak Bay Rd, Tyler, TX 75707
Phone: 903-655-0880    Fax: 903-654-6415
Dr. Eric R Smith, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3802 Manhatton, Tyler, TX 75701
Phone: 903-509-8888    
Michele C Bosworth, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 11937 Us Highway 271, Tyler, TX 75708
Phone: 903-877-7777    Fax: 903-877-5080
Dr. James A Lively, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3802 Manhatton Dr, Tyler, TX 75701
Phone: 903-509-8888    
Steven J Cohen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1327 Troup Hwy, Tyler, TX 75701
Phone: 903-510-8764    
Andrea M Ellis, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8288 S Broadway Ave, Tyler, TX 75703
Phone: 903-606-7060    

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.