Dr Jordan Van Jackson, DO - Medicare Internal Medicine in Sun City Center, FL

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Dr Jordan Van Jackson, DO is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Sun City Center, Florida. His current practice location is 4016 Sun City Center Blvd, Sun City Center, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 634-3301.

Dr Jordan Van Jackson is licensed to practice in Florida (license number OS20918) 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 1225598865.

Contact Information

Dr Jordan Van Jackson, DO
4016 Sun City Center Blvd,
Sun City Center, FL 33573-5256
(813) 634-3301
Not Available

Map and Direction




Physician's Profile

Full NameDr Jordan Van Jackson
GenderMale
SpecialityInternal Medicine - Infectious Disease
Location4016 Sun City Center Blvd, Sun City Center, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225598865
  • Provider Enumeration Date: 03/20/2019
  • Last Update Date: 08/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0244774339
  • Enrollment ID: I20240701000592

Medical Identifiers

Medical identifiers for Dr Jordan Van Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225598865NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine OS20918 (Florida)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207RI0200XInternal Medicine - Infectious Disease OS20918 (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 Jordan Van Jackson allows following entities to bill medicare on his behalf.
Entity NameJose R Prieto Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689708844
PECOS PAC ID: 5193707388
Enrollment ID: O20040913000816

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 Jordan Van 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 Jordan Van Jackson, DO
10762 Pleasant Knoll Dr,
Tampa, FL 33647-3667

Ph: (713) 447-0122		Dr Jordan Van Jackson, DO
4016 Sun City Center Blvd,
Sun City Center, FL 33573-5256

Ph: (813) 634-3301

Reviews and Comments


Internal Medicine Doctors in Sun City Center, FL

Dr. Cecil B Sue-wah-sing, M.D.
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1901 Haverford Ave Ste 101, Sun City Center, FL 33573
Phone: 813-634-9284    Fax: 813-634-4595
Dr. Leslie M Kidd, M.D.
Infectious Disease
Medicare: Medicare Enrolled
Practice Location: 139 S Pebble Beach Blvd Ste 100, Sun City Center, FL 33573
Phone: 813-819-0300    Fax: 844-388-6186
Jonathan Dychko,
Infectious Disease
Medicare: May Accept Medicare Assignments
Practice Location: 819 Cypress Village Blvd, Sun City Center, FL 33573
Phone: 813-922-2660    Fax: 833-784-1539
Donald A Behnke, M.D.
Infectious Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1901 Haverford Ave, Suite 101, Sun City Center, FL 33573
Phone: 813-634-9284    Fax: 813-634-4595
Dr. Naumaan Javed Hafeez, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3909 Galen Ct, Sun City Center, FL 33573
Phone: 813-634-5502    
Michelle Andrea Gonzalez,
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 108 S Pebble Beach Blvd, Sun City Center, FL 33573
Phone: 813-633-6550    Fax: 813-633-6551

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.