Dr Leah Jackson, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Garden City, Michigan. Her current practice location is
6245 Inkster Rd, Garden City, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 494-1491.
Dr Leah Jackson is licensed to practice in * (Not Available) (license number ) 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 1932779394.
Physician's Profile
| Full Name | Dr Leah Jackson |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 6245 Inkster Rd, Garden City, Michigan |
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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: 1932779394
- Provider Enumeration Date: 06/29/2021
- Last Update Date: 01/20/2026
Medicare PECOS Information:
- PECOS PAC ID: 5294136883
- Enrollment ID: I20210702002400
Medical Identifiers
Medical identifiers for Dr Leah Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1932779394 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 20A24571 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Leah 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 Leah Jackson, DO 2811 Brush St, Detroit, MI 48201 Ph: (248) 494-1491 | Dr Leah Jackson, DO 6245 Inkster Rd, Garden City, MI 48135-4001 Ph: (248) 494-1491 |
Reviews and Comments