Dr Dane William Jackson, MD in Coeur D Alene, ID

Dr Dane William Jackson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Coeur D Alene, Idaho. His current practice location is 700 W Ironwood Dr Ste 175, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 625-6300.

Dr Dane William Jackson is licensed to practice in Idaho (license number M-17814) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952724361.

Contact Information

	Dr Dane William Jackson, MD
	700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814-4401
	(208) 625-6300
	(208) 625-6301

Map and Direction

Physician's Profile

Full Name	Dr Dane William Jackson
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	700 W Ironwood Dr Ste 175, Coeur D Alene, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952724361
Provider Enumeration Date: 01/22/2014
Last Update Date: 08/03/2025

Medicare PECOS Information:

PECOS PAC ID: 1951621887
Enrollment ID: I20230505002199

Medical Identifiers

Medical identifiers for Dr Dane William Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952724361	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	M-17814 (Idaho)	Primary

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 Dane William Jackson allows following entities to bill medicare on his behalf.

Entity Name	Lucidsolutions Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518594480 PECOS PAC ID: 0749603462 Enrollment ID: O20210707003852

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 Dane William 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
Dr Dane William Jackson, MD 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814-4401 Ph: (208) 625-6309	Dr Dane William Jackson, MD 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814-4401 Ph: (208) 625-6300

Reviews and Comments

Radiology Doctors in Coeur D Alene, ID

Dr. Brian Joseph Mcnamee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814 Phone: 208-625-6300 Fax: 208-625-6301
Dr. Michael Gerardo Melendez, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2789 E Spyglass Ct, Coeur D Alene, ID 83815 Phone: 208-610-0041 Fax: 208-777-1313
Lauren Gayle Deur, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Northwest Blvd, Suite #202, Coeur D Alene, ID 83814 Phone: 208-292-2263 Fax: 208-292-3130
Dr. George F. Knight, M. D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 601 Front Avenue, Suite #502, Coeur D Alene, ID 83814 Phone: 208-415-0524 Fax: 208-763-3644
Jeffrey Wayne Grossman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2031 E Mountain Vista Dr, Coeur D Alene, ID 83815 Phone: 208-570-3342
Dr. Patricia Ines Ojeda, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814 Phone: 208-625-6300 Fax: 208-625-6301
Dr. Bryan Douglas Berkey, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814 Phone: 208-625-3000 Fax: 208-625-6301

Dr Dane William Jackson, MD - Medicare Radiology in Coeur D Alene, ID