Dr Charles William Jackson, MD - Medicare Family Practice in Huntington Beach, CA

Dr Charles William Jackson, MD is a medicare enrolled "General Practice" physician in Huntington Beach, California. He graduated from medical school in 1976 and has 48 years of diverse experience with area of expertise as Family Practice. His current practice location is 17122 Beach Blvd, Suite 102, Huntington Beach, California. You can reach out to his office (for appointments etc.) via phone at (714) 847-6545.

Dr Charles William Jackson is licensed to practice in California (license number G35311) 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 1083662845.

Contact Information

Dr Charles William Jackson, MD
17122 Beach Blvd, Suite 102,
Huntington Beach, CA 92647-5992
(714) 847-6545
(714) 847-6547

Map and Direction




Physician's Profile

Full NameDr Charles William Jackson
GenderMale
SpecialityFamily Practice
Experience48 Years
Location17122 Beach Blvd, Huntington Beach, California
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:
  • Dr Charles William Jackson graduated from medical school in 1976
  NPI Data:
  • NPI Number: 1083662845
  • Provider Enumeration Date: 05/04/2006
  • Last Update Date: 07/30/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 5496641789
  • Enrollment ID: I20040224000853

Medical Identifiers

Medical identifiers for Dr Charles William Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083662845NPI-NPPES
00G353110MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice G35311 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Companion Home HealthOrange, CAHome health agency
Memorialcare Orange Coast Medical CenterFountain valley, CAHospital

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 Charles William Jackson allows following entities to bill medicare on his behalf.
Entity NameCharles W Jackson Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851594006
PECOS PAC ID: 1153453121
Enrollment ID: O20100712000081

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 Charles 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 AddressPractice Location Address
Dr Charles William Jackson, MD
17122 Beach Blvd, Suite 102,
Huntington Beach, CA 92647-5992

Ph: (714) 847-6545
Dr Charles William Jackson, MD
17122 Beach Blvd, Suite 102,
Huntington Beach, CA 92647-5992

Ph: (714) 847-6545

Reviews and Comments


General Practice Doctors in Huntington Beach, CA

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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.