Dr Richard Jackson, MD in Southlake, TX - Medicare Emergency Medicine

Dr Richard Jackson, MD is a medicare enrolled "Emergency Medicine" physician in Southlake, Texas. He went to Indiana University School Of Medicine and graduated in 1974 and has 51 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Legacy Urgent Care Pa and his current practice location is 505 Regency Xing, Southlake, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 913-6144.

Dr Richard Jackson is licensed to practice in Texas (license number K8228) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1659328060.

Contact Information

	Dr Richard Jackson, MD
	505 Regency Xing, Southlake, TX 76092-9501
	(817) 913-6144
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Richard Jackson
Gender	Male
Speciality	Emergency Medicine
Experience	51 Years
Location	505 Regency Xing, Southlake, Texas
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Richard Jackson attended and graduated from Indiana University School Of Medicine in 1974

NPI Data:

NPI Number: 1659328060
Provider Enumeration Date: 05/30/2006
Last Update Date: 01/17/2008

Medicare PECOS Information:

PECOS PAC ID: 0345154357
Enrollment ID: I20031114000126

Medical Identifiers

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

Identifier	Type	State	Issuer
1659328060	NPI	-	NPPES
8G7458	Other	TX	BCBS THRU HEB
P00374822	Other	TX	RAILROAD MCARE THRU HEB

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	K8228 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Texas Health Harris Methodist Hospital Southlake	Southlake, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Legacy Urgent Care Pa	3072679828	135

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 Richard Jackson allows following entities to bill medicare on his behalf.

Entity Name	Legacy Urgent Care Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568622272 PECOS PAC ID: 3072679828 Enrollment ID: O20090304000140

Entity Name	Southlake Emergicare Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598172033 PECOS PAC ID: 9638398258 Enrollment ID: O20140915000506

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 Richard 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 Richard Jackson, MD 505 Regency Xing, Southlake, TX 76092-9501 Ph: (817) 913-6144	Dr Richard Jackson, MD 505 Regency Xing, Southlake, TX 76092-9501 Ph: (817) 913-6144

Reviews and Comments

Emergency Medicine Doctors in Southlake, TX

Daniel Peckenpaugh, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1545 E Southlake Blvd, Southlake, TX 76092 Phone: 817-748-8700
Robert Frank Lutz Iii, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1545 E Southlake Blvd, Southlake, TX 76092 Phone: 817-557-8205
Kent Alan Taub, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 613 Fairway View Ter, Southlake, TX 76092 Phone: 214-649-1444
Kristina Marie Dennington, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 630 N Kimball Avenue, Ste #100, Southlake, TX 76092 Phone: 817-421-8777 Fax: 817-421-4388
Meredith S Krebel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6050
James Alan Dennington, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 630 N Kimball Ave, Ste#100, Southlake, TX 76092 Phone: 817-421-8777 Fax: 817-421-4388

Dr Richard Jackson, MD - Medicare Emergency Medicine in Southlake, TX