Christine Jackson, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Eagar, Arizona. She went to University Of Arizona College Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). She is a member of the group practice White Mountain Communities Hospital, Inc. and her current practice location is
162 W Central Ave, Eagar, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 333-1030.
Christine Jackson is licensed to practice in Arizona (license number 13940) 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 1861476889.
Physician's Profile
| Full Name | Christine Jackson |
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| Gender | Female |
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| Speciality | Cardiovascular Disease (cardiology) |
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| Experience | 46 Years |
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| Location | 162 W Central Ave, Eagar, Arizona |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Christine Jackson attended and graduated from University Of Arizona College Of Medicine in 1978
NPI Data:
- NPI Number: 1861476889
- Provider Enumeration Date: 12/02/2005
- Last Update Date: 01/04/2010
Medicare PECOS Information:
- PECOS PAC ID: 0840232278
- Enrollment ID: I20050525001294
Medical Identifiers
Medical identifiers for Christine Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861476889 | NPI | - | NPPES |
| 274613 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RC0000X | Internal Medicine - Cardiovascular Disease | 13940 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| White Mountain Communities Hospital, Inc. | 1951203512 | 10 |
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. Christine Jackson allows following entities to bill medicare on her behalf.
| Entity Name | White Mountain Communities Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699766592
PECOS PAC ID: 1951203512
Enrollment ID: O20040123000416 |
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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. Christine 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 Address | Practice Location Address |
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Christine Jackson, MD
Po Box 1120,
Eagar, AZ 85925-1120
Ph: (928) 333-1030 | Christine Jackson, MD
162 W Central Ave,
Eagar, AZ 85925-9707
Ph: (928) 333-1030 |
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