Dr Kathy Jo Jackson, MD in Kalamazoo, MI

Dr Kathy Jo Jackson, MD is a medicare enrolled "Pediatrics" physician in Kalamazoo, Michigan. Her current practice location is 117 W Paterson St, Kalamazoo, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 349-2641.

Dr Kathy Jo Jackson is licensed to practice in Michigan (license number 070748) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306914296.

Contact Information

	Dr Kathy Jo Jackson, MD
	117 W Paterson St, Kalamazoo, MI 49007-2557
	(269) 349-2641
	(269) 349-2898

Map and Direction

Physician's Profile

Full Name	Dr Kathy Jo Jackson
Gender	Female
Speciality	Pediatrics
Location	117 W Paterson St, Kalamazoo, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306914296
Provider Enumeration Date: 12/01/2006
Last Update Date: 12/27/2022

Medicare PECOS Information:

PECOS PAC ID: 8527041722
Enrollment ID: I20040609000885

Medical Identifiers

Medical identifiers for Dr Kathy Jo Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306914296	NPI	-	NPPES
104509048	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	070748 (Michigan)	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 Kathy Jo Jackson allows following entities to bill medicare on her behalf.

Entity Name	Family Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811065576 PECOS PAC ID: 1759370216 Enrollment ID: O20040510000899

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 Kathy Jo 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 Kathy Jo Jackson, MD 1003 Pinehurst Blvd, Kalamazoo, MI 49006-2110 Ph: (269) 349-2641	Dr Kathy Jo Jackson, MD 117 W Paterson St, Kalamazoo, MI 49007-2557 Ph: (269) 349-2641

Reviews and Comments

Pediatrics Doctors in Kalamazoo, MI

Nancy J Hilleren, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6210 W Main St, Kalamazoo, MI 49009 Phone: 269-286-7030
Martin B Draznin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-6430
Yamini Kuchipudi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-4400
Dr. Erica Vanderkooy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-6400
Randall L Dyk, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5629 Stadium Dr, Kalamazoo, MI 49009 Phone: 269-372-1000 Fax: 269-372-0698
Sonia Lynn Joychan, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-4400
Van Don Williams Ii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 601 John St Ste E-352, Kalamazoo, MI 49007 Phone: 269-341-8986

Dr Kathy Jo Jackson, MD - Medicare Pediatrics in Kalamazoo, MI