Dr Todd Lincoln Jackson, MD in Kingman, AZ

Dr Todd Lincoln Jackson, MD is a medicare enrolled "Ophthalmology" physician in Kingman, Arizona. He went to Medical College Of Wisconsin and graduated in 2006 and has 18 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Mohave Eye Centers Ltd. and his current practice location is 710 Eastern St Ste H, Kingman, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 224-0536.

Dr Todd Lincoln Jackson is licensed to practice in Arizona (license number 52840) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609063775.

Contact Information

	Dr Todd Lincoln Jackson, MD
	710 Eastern St Ste H, Kingman, AZ 86401-5486
	(928) 224-0536
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Todd Lincoln Jackson
Gender	Male
Speciality	Ophthalmology
Experience	18 Years
Location	710 Eastern St Ste H, Kingman, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Todd Lincoln Jackson attended and graduated from Medical College Of Wisconsin in 2006

NPI Data:

NPI Number: 1609063775
Provider Enumeration Date: 10/02/2007
Last Update Date: 11/10/2022

Medicare PECOS Information:

PECOS PAC ID: 1557498748
Enrollment ID: I20181110000150

Medical Identifiers

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

Identifier	Type	State	Issuer
1609063775	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	52840 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Valley View Medical Center	Fort mohave, AZ	Hospital
Havasu Regional Medical Center	Lake havasu city, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mohave Eye Centers Ltd.	7911985247	8

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 Todd Lincoln Jackson allows following entities to bill medicare on his behalf.

Entity Name	Mohave Eye Centers Ltd.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063438257 PECOS PAC ID: 7911985247 Enrollment ID: O20040712001437

Entity Name	Prestige Laser And Cataract Institute Llc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1518680347 PECOS PAC ID: 4688037179 Enrollment ID: O20230831000671

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 Todd Lincoln 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 Todd Lincoln Jackson, MD 710 Eastern St Ste H, Kingman, AZ 86401-5486 Ph: (928) 224-0536	Dr Todd Lincoln Jackson, MD 710 Eastern St Ste H, Kingman, AZ 86401-5486 Ph: (928) 224-0536

Dr Todd Lincoln Jackson, MD - Medicare Ophthalmology in Kingman, AZ