Dr Edgar Basil Jackson, MD in Milwaukee, WI

Dr Edgar Basil Jackson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Milwaukee, Wisconsin. He graduated from medical school in 1957 and has 67 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Milwaukee Health Services, Inc. and his current practice location is 1225 W Mitchell St, 223, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 383-4455.

Dr Edgar Basil Jackson is licensed to practice in Wisconsin (license number 13939) 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 1598833410.

Contact Information

	Dr Edgar Basil Jackson, MD
	1225 W Mitchell St, 223, Milwaukee, WI 53204-3383
	(414) 383-4455
	(414) 727-8730

Map and Direction

Physician's Profile

Full Name	Dr Edgar Basil Jackson
Gender	Male
Speciality	Psychiatry
Experience	67 Years
Location	1225 W Mitchell St, Milwaukee, Wisconsin
Accepts Medicare Assignments	Yes. 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 Edgar Basil Jackson graduated from medical school in 1957

NPI Data:

NPI Number: 1598833410
Provider Enumeration Date: 11/30/2006
Last Update Date: 11/22/2023

Medicare PECOS Information:

PECOS PAC ID: 6103879697
Enrollment ID: I20050224000385

Medical Identifiers

Medical identifiers for Dr Edgar Basil Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598833410	NPI	-	NPPES
1598833410	Other	WI	NPI
30954700	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084A0401X	Psychiatry & Neurology - Addiction Medicine	AJ8930984 XJ8930984 (Wisconsin)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	13939 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Milwaukee Health Services, Inc.	7416946884	28

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 Edgar Basil Jackson allows following entities to bill medicare on his behalf.

Entity Name	Milwaukee Health Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518005818 PECOS PAC ID: 7416946884 Enrollment ID: O20040511000114

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 Edgar Basil 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 Edgar Basil Jackson, MD 1225 W Mitchell St, 223, Milwaukee, WI 53204-3383 Ph: (414) 383-4455	Dr Edgar Basil Jackson, MD 1225 W Mitchell St, 223, Milwaukee, WI 53204-3383 Ph: (414) 383-4455

Reviews and Comments

Psychiatry & Neurology Doctors in Milwaukee, WI

Christopher R Takala, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Pediatric Psychiatry, Milwaukee, WI 53226 Phone: 414-607-5280
Mr. Joseph S. Goveas, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1155 N Mayfair Rd, Department Of Psychiatry, Milwaukee, WI 53226 Phone: 414-955-8900 Fax: 414-955-6285
Dr. Bhupendra O Khatri, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3237 S 16th St, Milwaukee, WI 53215 Phone: 414-769-4040 Fax: 414-769-4041
Joshua E Medow, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Neurocritical Care, Milwaukee, WI 53226 Phone: 414-805-8710 Fax: 414-805-1101
Gina G Negrette, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 820 N Plankinton Ave, Milwaukee, WI 53203 Phone: 414-273-1991
Dr. John Pankiewicz, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 821 W State St, Suite 504, Milwaukee, WI 53233 Phone: 414-278-4690 Fax: 414-223-1817
Biana Kotlyar, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2323 N Lake Dr, 1st Floor, Milwaukee, WI 53211 Phone: 414-291-1620 Fax: 414-291-5969

Dr Edgar Basil Jackson, MD - Medicare Psychiatry in Milwaukee, WI