Heather Maria Jackson, DO in Beavercreek, OH

Heather Maria Jackson, DO is a medicare enrolled "Family Medicine" physician in Beavercreek, Ohio. Her current practice location is 2322 Lakeview Dr, Beavercreek, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 426-0106.

Heather Maria Jackson is licensed to practice in Ohio (license number 34010401) 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 1104034008.

Contact Information

	Heather Maria Jackson, DO
	2322 Lakeview Dr, Beavercreek, OH 45431-2772
	(937) 426-0106
	(937) 426-7153

Map and Direction

Physician's Profile

Full Name	Heather Maria Jackson
Gender	Female
Speciality	Family Medicine
Location	2322 Lakeview Dr, Beavercreek, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104034008
Provider Enumeration Date: 05/21/2007
Last Update Date: 02/06/2014

Medicare PECOS Information:

PECOS PAC ID: 4385731520
Enrollment ID: I20220324000372

Medical Identifiers

Medical identifiers for Heather Maria Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104034008	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	34010401 (Ohio)	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. Heather Maria Jackson allows following entities to bill medicare on her behalf.

Entity Name	My Doctors Live Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144891367 PECOS PAC ID: 1355730524 Enrollment ID: O20211109000772

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. Heather Maria 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
Heather Maria Jackson, DO 4700 Smith Rd, Ste A, Cincinnati, OH 45212-2787 Ph: (513) 533-1199	Heather Maria Jackson, DO 2322 Lakeview Dr, Beavercreek, OH 45431-2772 Ph: (937) 426-0106

Reviews and Comments

Family Medicine Doctors in Beavercreek, OH

Nikhil Tej Kurapati, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 University Blvd, Beavercreek, OH 45324 Phone: 937-245-7200
Dr. Maureen Kennedy Perez, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1425 N Fairfield Rd., Ste 110, Beavercreek, OH 45432 Phone: 937-426-0106 Fax: 937-426-7153
Theresia Gordnier, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 University Blvd, Beavercreek, OH 45324 Phone: 937-245-7200
Kevin A Carter, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2633 Commons Blvd Ste 110, Beavercreek, OH 45431 Phone: 937-705-6747 Fax: 937-705-6713
Dr. Gordon S Walbroehl, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4172 Indian Ripple Rd, Ste. A, Beavercreek, OH 45440 Phone: 937-431-3779 Fax: 937-431-3776
Dr. Harminder Grewal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 725 University Blvd, Beavercreek, OH 45324 Phone: 937-245-7200

Heather Maria Jackson, DO - Medicare Family Medicine in Beavercreek, OH