John Calvin Jackson Iv, MD - Medicare Family Practice in Grass Valley, CA

John Calvin Jackson Iv, MD is a medicare enrolled "Family Medicine" physician in Grass Valley, California. He went to University Of California, Irvine, California College Of Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sierra Medical Partnership and his current practice location is 10565 Brunswick Rd, Ste 1, Grass Valley, California. You can reach out to his office (for appointments etc.) via phone at (530) 272-0501.

John Calvin Jackson Iv is licensed to practice in California (license number G37527) 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 1487689840.

Contact Information

John Calvin Jackson Iv, MD
10565 Brunswick Rd, Ste 1,
Grass Valley, CA 95945-9053
(530) 272-0501
(530) 272-0571

Map and Direction




Physician's Profile

Full NameJohn Calvin Jackson Iv
GenderMale
SpecialityFamily Practice
Experience47 Years
Location10565 Brunswick Rd, Grass Valley, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • John Calvin Jackson Iv attended and graduated from University Of California, Irvine, California College Of Medicine in 1977
  NPI Data:
  • NPI Number: 1487689840
  • Provider Enumeration Date: 07/12/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5799792354
  • Enrollment ID: I20090923000716

Medical Identifiers

Medical identifiers for John Calvin Jackson Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487689840NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine G37527 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sierra Medical Partnership781032185812

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. John Calvin Jackson Iv allows following entities to bill medicare on his behalf.
Entity NameSierra Medical Partnership
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568015808
PECOS PAC ID: 7810321858
Enrollment ID: O20191227000310

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. John Calvin Jackson Iv 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
John Calvin Jackson Iv, MD
10565 Brunswick Rd, Ste 1,
Grass Valley, CA 95945-9053

Ph: (530) 272-0501
John Calvin Jackson Iv, MD
10565 Brunswick Rd, Ste 1,
Grass Valley, CA 95945-9053

Ph: (530) 272-0501

Reviews and Comments


Family Medicine Doctors in Grass Valley, CA

Marlowe Gates Dieckmann,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1350 E Main St, Grass Valley, CA 95945
Phone: 530-477-8545    
Karen L Milman, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 500 Crown Point Cir, 110, Grass Valley, CA 95945
Phone: 530-265-1459    Fax: 530-265-0894
Dr. David Lee Kessler, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 307 S. Auburn St., Grass Valley, CA 95945
Phone: 530-273-2310    Fax: 530-273-2310
Dr. Garrett M. Eckerling, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 111 Bank St Ste 256, Grass Valley, CA 95945
Phone: 530-277-5207    Fax: 530-432-3130
Daniel John Bibelheimer, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 900 E Main St, Suite 301, Grass Valley, CA 95945
Phone: 530-271-3200    Fax: 530-274-6367
Jameson Forshee, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 10058 Wolf Rd, Grass Valley, CA 95949
Phone: 530-745-1500    
Mrs. Neva Marie Monigatti Lake, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 300 Sierra College Dr, Ste 170, Grass Valley, CA 95945
Phone: 530-273-4376    Fax: 530-273-6426

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.