Dr David Wayne Jackson, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Alva, Florida. His current practice location is
16503 Windsor Way, Alva, Florida. You can reach out to his office (for appointments etc.) via phone at
(419) 283-1228.
Dr David Wayne Jackson is licensed to practice in Florida (license number OS23315) 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 1831103027.
Physician's Profile
| Full Name | Dr David Wayne Jackson |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 16503 Windsor Way, Alva, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831103027
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 09/24/2026
Medicare PECOS Information:
- PECOS PAC ID: 5799742839
- Enrollment ID: I20041210000252
Medical Identifiers
Medical identifiers for Dr David Wayne Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831103027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207V00000X | Obstetrics & Gynecology | 34-005219 (Ohio) | Secondary |
| 207V00000X | Obstetrics & Gynecology | OS23315 (Florida) | 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 David Wayne Jackson allows following entities to bill medicare on his behalf.
| Entity Name | The Toledo Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407854771 PECOS PAC ID: 2961309638 Enrollment ID: O20031218001042 |
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| Entity Name | Mercy Health Physicians-north LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750 |
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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. Dr David Wayne 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 David Wayne Jackson, DO 16503 Windsor Way, Alva, FL 33920-4705 Ph: (419) 283-1228 | Dr David Wayne Jackson, DO 16503 Windsor Way, Alva, FL 33920-4705 Ph: (419) 283-1228 |
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