Dr Rebecca Jackson, MD is a medicare enrolled "Family Medicine" physician in Orange, Massachusetts. Her current practice location is
119 New Athol Rd Ste 200, Orange, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(978) 544-7800.
Dr Rebecca Jackson is licensed to practice in Massachusetts (license number 208092) 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 1114999786.
Physician's Profile
| Full Name | Dr Rebecca Jackson |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 119 New Athol Rd Ste 200, Orange, Massachusetts |
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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: 1114999786
- Provider Enumeration Date: 02/07/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 5698710812
- Enrollment ID: I20080930000555
Medical Identifiers
Medical identifiers for Dr Rebecca Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114999786 | NPI | - | NPPES |
| 110083655A | Medicaid | MA | |
| J23829 | Other | MA | BLUE CROSS BLUE SHIELD OF MA |
| 47759 | Other | MA | HEALTH NEW ENGLAND |
| AA159101 | Other | MA | HARVARD PILGRIM HEALTHCARE |
| 9611148 | Other | MA | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 208092 (Massachusetts) | 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 Rebecca Jackson allows following entities to bill medicare on her behalf.
| Entity Name | Community Health Center Of Franklin County Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457300329 PECOS PAC ID: 5597674770 Enrollment ID: O20040715000164 |
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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 Rebecca 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 Rebecca Jackson, MD 119 New Athol Rd Ste 200, Orange, MA 01364-9603 Ph: (978) 544-7800 | Dr Rebecca Jackson, MD 119 New Athol Rd Ste 200, Orange, MA 01364-9603 Ph: (978) 544-7800 |
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