Dr Leslie W Jackson, MD in La Grande, OR

Dr Leslie W Jackson, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in La Grande, Oregon. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1991 and has 35 years of diverse experience with area of expertise as Rheumatology. She is a member of the group practice Grande Ronde Hospital Inc and her current practice location is 710 Sunset Dr, La Grande, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 663-3000.

Dr Leslie W Jackson is licensed to practice in Oregon (license number MD156467) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972690774.

Contact Information

	Dr Leslie W Jackson, MD
	710 Sunset Dr, La Grande, OR 97850-1200
	(541) 663-3000
	(541) 975-5115

Map and Direction

Physician's Profile

Full Name	Dr Leslie W Jackson
Gender	Female
Speciality	Rheumatology
Experience	35 Years
Location	710 Sunset Dr, La Grande, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Leslie W Jackson attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1991

NPI Data:

NPI Number: 1972690774
Provider Enumeration Date: 10/05/2006
Last Update Date: 11/23/2021

Medicare PECOS Information:

PECOS PAC ID: 0042407108
Enrollment ID: I20121211000137

Medical Identifiers

Medical identifiers for Dr Leslie W Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972690774	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RR0500X	Internal Medicine - Rheumatology	9300627 (North Carolina)	Secondary
207RR0500X	Internal Medicine - Rheumatology	M-11620 (Idaho)	Secondary
207RR0500X	Internal Medicine - Rheumatology	MD156467 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grande Ronde Hospital	La grande, OR	Hospital
St. Alphonsus Medical Center - Baker City	Baker city, OR	Hospital
Wallowa Memorial Hospital	Enterprise, OR	Hospital
Blue Mountain Hospital	John day, OR	Hospital
St Anthony Hospital	Pendleton, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Grande Ronde Hospital Inc	0547170789	97

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 Leslie W Jackson allows following entities to bill medicare on her behalf.

Entity Name	Grande Ronde Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20031124000758

Entity Name	Grande Ronde Hospital Inc
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20061104000155

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 Leslie W 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 Leslie W Jackson, MD 710 Sunset Dr, La Grande, OR 97850-1200 Ph: (541) 663-3000	Dr Leslie W Jackson, MD 710 Sunset Dr, La Grande, OR 97850-1200 Ph: (541) 663-3000

Reviews and Comments

Internal Medicine Doctors in La Grande, OR

Dr. Geraldine Gardner, D.O. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 900 Sunset Dr, La Grande, OR 97850 Phone: 541-963-2328 Fax: 541-975-5210
Emilia Arden, D.O. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-963-2328 Fax: 541-975-5210
Seymour Maynard Bronstein, M.D. Rheumatology Medicare: Medicare Enrolled Practice Location: 900 Sunset Dr, La Grande, OR 97850 Phone: 541-963-2828 Fax: 541-975-5132
Dr. Susan Kathleen Rice, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-963-3138 Fax: 541-963-5918
Dr. Kelly Ray Mutch, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 62462 Igo Ln, La Grande, OR 97850 Phone: 541-963-9732
Dr. Stephen Robert Bump, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-963-3138 Fax: 541-963-5918
Dr. Madhavi Chandra Tangirala, M.D Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 900 Sunset Dr, La Grande, OR 97850 Phone: 541-963-8421

Dr Leslie W Jackson, MD - Medicare Rheumatology in La Grande, OR