Dr Lenley Bradford Jackson, MD - Medicare Emergency Medicine in San Francisco, CA

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Dr Lenley Bradford Jackson, MD is a medicare enrolled "Emergency Medicine" physician in San Francisco, California. His current practice location is 520 Illinois St, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at (415) 353-9188.

Dr Lenley Bradford Jackson is licensed to practice in California (license number A87877) 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 1568555845.

Contact Information

Dr Lenley Bradford Jackson, MD
520 Illinois St,
San Francisco, CA 94143-2501
(415) 353-9188
Not Available

Map and Direction




Physician's Profile

Full NameDr Lenley Bradford Jackson
GenderMale
SpecialityEmergency Medicine
Location520 Illinois St, San Francisco, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568555845
  • Provider Enumeration Date: 10/01/2006
  • Last Update Date: 05/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1850365206
  • Enrollment ID: I20040823000656

Medical Identifiers

Medical identifiers for Dr Lenley Bradford Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568555845NPI-NPPES
P00601866OtherILRAILROAD MEDICARE MEMBER PTAN
CA2264OtherILRAILROAD MEDICARE GROUP PTAN
833120OtherILMEDICARE GROUP #
036119364MedicaidIL
R00965OtherILMEDICARE INDIVIDUAL #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A87877 (California)Primary
207P00000XEmergency Medicine 15431 (Hawaii)Secondary

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 Lenley Bradford Jackson allows following entities to bill medicare on his behalf.
Entity NamePacifica Emergency Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053350975
PECOS PAC ID: 9436058971
Enrollment ID: O20040712001555
Entity NameChase Dennis Emergency Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033152350
PECOS PAC ID: 2264345172
Enrollment ID: O20040729000498
Entity NameTeam Physicians Of California Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447288345
PECOS PAC ID: 8224945084
Enrollment ID: O20040920000880
Entity NamePremier Emergency Physicians Of California Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578747606
PECOS PAC ID: 3870405384
Enrollment ID: O20041101000810
Entity NameRidgecrest Regional Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447253125
PECOS PAC ID: 9739099896
Enrollment ID: O20060929000159
Entity NameSan Dimas Emergency Medical Associates Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720239460
PECOS PAC ID: 0648334235
Enrollment ID: O20090127000007
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335
Entity NameApex Emergency Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265711089
PECOS PAC ID: 4688844277
Enrollment ID: O20110909002790
Entity NameSunshine Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649725466
PECOS PAC ID: 3072893460
Enrollment ID: O20161130001458
Entity NameNes Western Group A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487125019
PECOS PAC ID: 4587902952
Enrollment ID: O20190208002821
Entity NameErx Plus Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336508407
PECOS PAC ID: 6800192428
Enrollment ID: O20220928003168
Entity NameErx Hospitalist Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699199562
PECOS PAC ID: 6608009279
Enrollment ID: O20221113000053

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 Lenley Bradford 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 Lenley Bradford Jackson, MD
1888 Kalakaua Ave Ste C312,
Honolulu, HI 96815-1550

Ph: (808) 391-6691		Dr Lenley Bradford Jackson, MD
520 Illinois St,
San Francisco, CA 94143-2501

Ph: (415) 353-9188

Reviews and Comments


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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.