Dr Jackson Campbell Hortenstine, MD in Gainesville, GA

Dr Jackson Campbell Hortenstine, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Gainesville, Georgia. His current practice location is 1075 Jesse Jewell Pkwy Ne Ste B, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 219-5407.

Dr Jackson Campbell Hortenstine is licensed to practice in Georgia (license number 99463) 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 1154997542.

Contact Information

	Dr Jackson Campbell Hortenstine, MD
	1075 Jesse Jewell Pkwy Ne Ste B, Gainesville, GA 30501-3814
	(770) 219-5407
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jackson Campbell Hortenstine
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	1075 Jesse Jewell Pkwy Ne Ste B, Gainesville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154997542
Provider Enumeration Date: 05/27/2021
Last Update Date: 07/22/2025

Medicare PECOS Information:

PECOS PAC ID: 5294138541
Enrollment ID: I20241018002040

Medical Identifiers

Medical identifiers for Dr Jackson Campbell Hortenstine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154997542	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	12815 (Georgia)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	99463 (Georgia)	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 Jackson Campbell Hortenstine allows following entities to bill medicare on his behalf.

Entity Name	Department Of Behavioral Health And Developmental Disabilities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902030307 PECOS PAC ID: 7416002506 Enrollment ID: O20090825000435

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 Jackson Campbell Hortenstine 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 Jackson Campbell Hortenstine, MD Po Box 1060, Oakwood, GA 30566-0018 Ph: (770) 219-8420	Dr Jackson Campbell Hortenstine, MD 1075 Jesse Jewell Pkwy Ne Ste B, Gainesville, GA 30501-3814 Ph: (770) 219-5407

Reviews and Comments

Psychiatry & Neurology Doctors in Gainesville, GA

Dr. Polina P Shvarts, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 500 Jesse Jewell Pkwy Se, Ste 207, Gainesville, GA 30501 Phone: 770-718-9790 Fax: 888-504-7955
Pamela Ann Pacquiao, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-6000
Mahitha Kolli, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Wisteria Dr, Gainesville, GA 30501 Phone: 770-219-5407
Michael Dehong Liu, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000
Deepti C Challagolla, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Wisteria Dr, Gainesville, GA 30501 Phone: 770-219-5407
Dr. Clinton Emmitt Branch Jr., M.D., F.A.A.N. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1240 Jesse Jewell Pkwy Se, Suite 400, Gainesville, GA 30501 Phone: 770-534-1117 Fax: 770-503-7285

Dr Jackson Campbell Hortenstine, MD - Medicare Psychiatry & Neurology in Gainesville, GA