Casey Gordon Jackson, MD - Medicare Internal Medicine in Memphis, TN

Casey Gordon Jackson, MD is a medicare enrolled "Internal Medicine" physician in Memphis, Tennessee. He went to Georgetown University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Peninsula Hospitalist Associates Inc and his current practice location is 4095 American Way, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 515-5000.

Casey Gordon Jackson is licensed to practice in Tennessee (license number 41430) 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 1104834555.

Contact Information

Casey Gordon Jackson, MD
4095 American Way,
Memphis, TN 38118-8339
(901) 515-5000
(901) 375-0982

Map and Direction




Physician's Profile

Full NameCasey Gordon Jackson
GenderMale
SpecialityInternal Medicine
Experience21 Years
Location4095 American Way, Memphis, Tennessee
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:
  • Casey Gordon Jackson attended and graduated from Georgetown University School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1104834555
  • Provider Enumeration Date: 08/03/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5597868828
  • Enrollment ID: I20091022000461

Medical Identifiers

Medical identifiers for Casey Gordon Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104834555NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 41430 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Peninsula Medical CenterBurlingame, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Peninsula Hospitalist Associates Inc327478068926

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. Casey Gordon Jackson allows following entities to bill medicare on his behalf.
Entity NamePeninsula Hospitalist Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619232956
PECOS PAC ID: 3274780689
Enrollment ID: O20120820000807

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. Casey Gordon 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
Casey Gordon Jackson, MD
877 Jefferson Ave, 5th Floor Adams Pavilion,
Memphis, TN 38103-2807

Ph: (901) 515-4529
Casey Gordon Jackson, MD
4095 American Way,
Memphis, TN 38118-8339

Ph: (901) 515-5000

Reviews and Comments


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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.