Dr Breaunnah Bloomer Jackson, MD - Medicare Psychiatry & Neurology in Kansas City, MO

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Dr Breaunnah Bloomer Jackson, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Kansas City, Missouri. Her current practice location is 10918 Elm Ave Ste 102, Kansas City, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 767-4346.

Dr Breaunnah Bloomer Jackson is licensed to practice in Louisiana (license number 325879) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831759877.

Contact Information

Dr Breaunnah Bloomer Jackson, MD
10918 Elm Ave Ste 102,
Kansas City, MO 64134-2284
(816) 767-4346
(816) 251-6367

Map and Direction




Physician's Profile

Full NameDr Breaunnah Bloomer Jackson
GenderFemale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location10918 Elm Ave Ste 102, Kansas City, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831759877
  • Provider Enumeration Date: 06/20/2019
  • Last Update Date: 09/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1850627100
  • Enrollment ID: I20240808002543

Medical Identifiers

Medical identifiers for Dr Breaunnah Bloomer Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831759877NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 313326 (Louisiana)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 325879 (Louisiana)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 Breaunnah Bloomer Jackson allows following entities to bill medicare on her behalf.
Entity NameLouisiana State University School Of Medicine In New Orleans Faculty G
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477582526
PECOS PAC ID: 0244136448
Enrollment ID: O20031209000661
Entity NameLouisiana State University School Of Med In New Orleans Faculty Grou
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932492626
PECOS PAC ID: 9739358722
Enrollment ID: O20110810000538

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 Breaunnah Bloomer 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
Dr Breaunnah Bloomer Jackson, MD
901 E 104th St,
Kansas City, MO 64131-4517

Ph: () -		Dr Breaunnah Bloomer Jackson, MD
10918 Elm Ave Ste 102,
Kansas City, MO 64134-2284

Ph: (816) 767-4346

Reviews and Comments


Psychiatry & Neurology Doctors in Kansas City, MO

Dr. Irene E Bettinger, M.D.
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Practice Location: 4400 Broadway, Suite 520, Kansas City, MO 64111
Phone: 816-531-4080    Fax: 816-531-0281
Parimal B Purohit, MD
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Practice Location: 3100 Ne 83rd St, Suite 1001, Kansas City, MO 64119
Phone: 816-468-0400    
Khursheed Zia, M.D.
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Practice Location: 825 Euclid Ave, Kansas City, MO 64124
Phone: 816-474-4920    Fax: 816-474-4914
Kingsley U. Osuagwu, M.D.
Psychiatry & Neurology
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Practice Location: 300 W 19th Ter, Kansas City, MO 64108
Phone: 816-404-5709    Fax: 816-404-5044
Dr. Daniel V Spurlock, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 211 Ne 54th St, Suite 201, Kansas City, MO 64118
Phone: 816-453-6777    Fax: 816-464-3601
Dr. Jay Gino Barone, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 5534 Crestwood Dr, Kansas City, MO 64110
Phone: 816-361-9422    
Dr. Francis Xavier Barth, D.O.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 10918 Elm Ave, Kansas City, MO 64134
Phone: 816-765-6600    

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.