Dr Nicole M Jackson, MD - Medicare Family Practice in Dorchester, MA

Dr Nicole M Jackson, MD is a medicare enrolled "Family Medicine" physician in Dorchester, Massachusetts. She went to Harvard Medical School and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Prospect Ct Medical Foundation Inc and her current practice location is 637 Washington St, Dorchester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 825-9660.

Dr Nicole M Jackson is licensed to practice in Massachusetts (license number 274945) 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 1710364211.

Contact Information

Dr Nicole M Jackson, MD
637 Washington St,
Dorchester, MA 02124
(617) 825-9660
(617) 822-8222

Map and Direction




Physician's Profile

Full NameDr Nicole M Jackson
GenderFemale
SpecialityFamily Practice
Experience9 Years
Location637 Washington St, Dorchester, Massachusetts
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 Nicole M Jackson attended and graduated from Harvard Medical School in 2015
  NPI Data:
  • NPI Number: 1710364211
  • Provider Enumeration Date: 05/04/2015
  • Last Update Date: 05/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4688981160
  • Enrollment ID: I20210129000128

Medical Identifiers

Medical identifiers for Dr Nicole M Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710364211NPI-NPPES
110108346AMedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 274945 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Manchester Memorial HospitalManchester, CTHospital
Rockville General HospitalRockville, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prospect Ct Medical Foundation Inc7416244496267

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 Nicole M Jackson allows following entities to bill medicare on her behalf.
Entity NameProspect Ct Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144677568
PECOS PAC ID: 7416244496
Enrollment ID: O20160919001322

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 Nicole M 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 Nicole M Jackson, MD
801 Albany St Fl G,
Boston, MA 02119-3791

Ph: () -
Dr Nicole M Jackson, MD
637 Washington St,
Dorchester, MA 02124

Ph: (617) 825-9660

Reviews and Comments


Family Medicine Doctors in Dorchester, MA

Dr. Geoffrey Alan Modest, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 500 Columbia Rd, Dorchester, MA 02125
Phone: 617-287-8000    Fax: 617-282-8625
Valerie Efonda Sanders, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 250 Mount Vernon St, Dorchester, MA 02125
Phone: 617-288-1140    
Dr. Daniel Cagua-koo, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 250 Mount Vernon St, Dorchester, MA 02125
Phone: 617-288-1140    
Dr. Chinh Van Le, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Dorchester Avenue, Family Medicine, Dorchester, MA 02124
Phone: 617-506-4970    Fax: 617-825-2352
Dr. Elise Marie Henricks, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 415 Columbia Rd, Dorchester, MA 02125
Phone: 617-740-8075    Fax: 617-740-8060
Glennon John Ogrady,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Dorchester Avenue, Family Medicine, Dorchester, MA 02124
Phone: 617-506-4970    Fax: 978-686-4137
Sarah Christiane Phillips, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 415 Columbia Rd, Dorchester, MA 02125
Phone: 617-287-8000    

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).

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