Carrie Rose Klotz Jackson, MD - Medicare Emergency Medicine in Cortland, NY

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Carrie Rose Klotz Jackson, MD is a medicare enrolled "Emergency Medicine" physician in Cortland, New York. She went to Johns Hopkins University School Of Medicine and graduated in 2007 and has 18 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Emergency Medicine Physicians Of Cortland County Pllc and her current practice location is 134 Homer Ave, Cortland, New York. You can reach out to her office (for appointments etc.) via phone at (410) 409-5844.

Carrie Rose Klotz Jackson is licensed to practice in New York (license number 256859) 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 1851595334.

Contact Information

Carrie Rose Klotz Jackson, MD
134 Homer Ave,
Cortland, NY 13045-1206
(410) 409-5844
Not Available

Map and Direction




Physician's Profile

Full NameCarrie Rose Klotz Jackson
GenderFemale
SpecialityEmergency Medicine
Experience18 Years
Location134 Homer Ave, Cortland, New York
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:
  • Carrie Rose Klotz Jackson attended and graduated from Johns Hopkins University School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1851595334
  • Provider Enumeration Date: 06/11/2007
  • Last Update Date: 10/25/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2264562685
  • Enrollment ID: I20100611000235

Medical Identifiers

Medical identifiers for Carrie Rose Klotz Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851595334NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 256859 (New York)Primary
207P00000XEmergency Medicine MD0000045187 (Tennessee)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Guthrie Cortland Regional Medical CenterCortland, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergency Medicine Physicians Of Cortland County Pllc60028027256

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. Carrie Rose Klotz Jackson allows following entities to bill medicare on her behalf.
Entity NameEmergency Medicine Physicians Of Cortland County Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609816024
PECOS PAC ID: 6002802725
Enrollment ID: O20040420001468

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. Carrie Rose Klotz 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
Carrie Rose Klotz Jackson, MD
134 Homer Ave,
Cortland, NY 13045-1206

Ph: (410) 409-5844		Carrie Rose Klotz Jackson, MD
134 Homer Ave,
Cortland, NY 13045-1206

Ph: (410) 409-5844

Reviews and Comments


Emergency Medicine Doctors in Cortland, NY

Regina J Kumar, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 134 Homer Ave, Cortland, NY 13045
Phone: 330-493-4443    Fax: 330-493-8677
David D Wirtz, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 134 Homer Ave, Cortland, NY 13045
Phone: 607-756-3743    
Lisa M Lawsing, FNP
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1129 Commons Ave, Cortland, NY 13045
Phone: 607-756-7200    
Ann C Robenstien, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 134 Homer Ave, Cortland, NY 13045
Phone: 330-493-4443    
Andrew Jenis, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 134 Homer Ave, Cortland, NY 13045
Phone: 330-493-4443    Fax: 330-493-8677

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.