Edwin J Jackson Jr, DO in Danville, IN - Medicare Pulmonary Disease

Edwin J Jackson Jr, DO is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Danville, Indiana. He went to Ohio University, College Of Osteopathic Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice University Medical Diagnostic Associates Inc and his current practice location is 112 Hospital Ln Ste 303, Danville, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 718-4000.

Edwin J Jackson Jr is licensed to practice in Indiana (license number 02005444A) 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 1972827335.

Contact Information

	Edwin J Jackson Jr, DO
	112 Hospital Ln Ste 303, Danville, IN 46122
	(317) 718-4000
	(317) 718-4005

Map and Direction

Physician's Profile

Full Name	Edwin J Jackson Jr
Gender	Male
Speciality	Pulmonary Disease
Experience	14 Years
Location	112 Hospital Ln Ste 303, Danville, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Edwin J Jackson Jr attended and graduated from Ohio University, College Of Osteopathic Medicine in 2010

NPI Data:

NPI Number: 1972827335
Provider Enumeration Date: 03/15/2010
Last Update Date: 05/19/2022

Medicare PECOS Information:

PECOS PAC ID: 1355585068
Enrollment ID: I20180706000599

Medical Identifiers

Medical identifiers for Edwin J Jackson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972827335	NPI	-	NPPES
0093373	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	34. 010939 (Ohio)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	34.010939 (Ohio)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	02005444A (Indiana)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	02005444A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Eskenazi Health	Indianapolis, IN	Hospital
Indiana University Health	Indianapolis, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Medical Diagnostic Associates Inc	3375446347	279

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. Edwin J Jackson Jr allows following entities to bill medicare on his behalf.

Entity Name	University Medical Diagnostic Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861441537 PECOS PAC ID: 3375446347 Enrollment ID: O20040202000510

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. Edwin J Jackson Jr 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
Edwin J Jackson Jr, DO 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Edwin J Jackson Jr, DO 112 Hospital Ln Ste 303, Danville, IN 46122 Ph: (317) 718-4000

Reviews and Comments

Internal Medicine Doctors in Danville, IN

Dr. Daniela Budiu, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Ln, Ste 120, Danville, IN 46122 Phone: 317-745-3830 Fax: 317-745-3832
Dr. Frank Paul Troiano, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Ln Ste 100, Danville, IN 46122 Phone: 317-745-7310 Fax: 317-745-7320
Bradley P Hamrick, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Ln, Suite 115, Danville, IN 46122 Phone: 317-718-4066
Priya P Menon, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Ln, Suite 205, Danville, IN 46122 Phone: 317-745-7445 Fax: 317-745-7449
Dr. Lirim Krveshi, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Hospital Ln Ste 303, Danville, IN 46122 Phone: 317-718-4000 Fax: 317-718-4005
Mason F Copeland, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 E Main St, Danville, IN 46122 Phone: 317-718-4740 Fax: 317-718-6760
Dr. Angela Toni Corea, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 E Main St, Danville, IN 46122 Phone: 317-745-4451 Fax: 317-718-6740

Edwin J Jackson Jr, DO - Medicare Pulmonary Disease in Danville, IN