David Alan Jackson, MD in Montgomery, OH - Medicare Emergency Medicine

David Alan Jackson, MD is a medicare enrolled "Emergency Medicine" physician in Montgomery, Ohio. His current practice location is 10500 Montgomery Rd, Montgomery, Ohio. You can reach out to his office (for appointments etc.) via phone at (513) 865-1200.

David Alan Jackson is licensed to practice in Ohio (license number 35.150662) 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 1962081455.

Contact Information

	David Alan Jackson, MD
	10500 Montgomery Rd, Montgomery, OH 45242-4402
	(513) 865-1200
	(513) 558-5791

Map and Direction

Physician's Profile

Full Name	David Alan Jackson
Gender	Male
Speciality	Emergency Medicine
Location	10500 Montgomery Rd, Montgomery, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962081455
Provider Enumeration Date: 04/03/2021
Last Update Date: 07/01/2025

Medicare PECOS Information:

PECOS PAC ID: 5597167999
Enrollment ID: I20240624002997

Medical Identifiers

Medical identifiers for David Alan Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962081455	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	35.150662 (Ohio)	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. David Alan Jackson allows following entities to bill medicare on his behalf.

Entity Name	Talawanda Emergency Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265416804 PECOS PAC ID: 2062431471 Enrollment ID: O20051115000775

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. David Alan 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
David Alan Jackson, MD 10500 Montgomery Rd, Montgomery, OH 45242-4402 Ph: (513) 865-1307	David Alan Jackson, MD 10500 Montgomery Rd, Montgomery, OH 45242-4402 Ph: (513) 865-1200

Reviews and Comments

Emergency Medicine Doctors in Montgomery, OH

Robert Sean Rae, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-2246
Dr. John Paul Detherage Iii, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10506 Montgomery Rd Ste 209, Montgomery, OH 45242 Phone: 513-865-9040
Zachary David Heppner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10506 Montgomery Rd Ste 209, Montgomery, OH 45242 Phone: 513-865-9040 Fax: 513-865-9046
Dr. Julian Macedo, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-2246
Margaret Bailey, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-1112
Dr. Jaclyn Harrington Jansen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10506 Montgomery Rd Ste 209, Montgomery, OH 45242 Phone: 800-225-0953
James Heaton, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-1111

David Alan Jackson, MD - Medicare Emergency Medicine in Montgomery, OH