James Scully Jackson, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Memphis, Tennessee. He went to Mercer University School Of Medicine and graduated in 2023 and has 3 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Methodist South Emergency Physicians, Pllc, Methodist North Emergency Physicians, Pllc and his current practice location is
251 S Claybrook St Ste A206, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(901) 516-7509.
James Scully Jackson is licensed to practice in * (Not Available) (license number ) 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 1124715958.
Physician's Profile
| Full Name | James Scully Jackson |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 3 Years |
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| Location | 251 S Claybrook St Ste A206, Memphis, Tennessee |
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| 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:
- James Scully Jackson attended and graduated from Mercer University School Of Medicine in 2023
NPI Data:
- NPI Number: 1124715958
- Provider Enumeration Date: 04/21/2023
- Last Update Date: 05/05/2026
Medicare PECOS Information:
- PECOS PAC ID: 0941669980
- Enrollment ID: I20250527001568
Medical Identifiers
Medical identifiers for James Scully Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1124715958 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 72921 (Tennessee) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Methodist South Emergency Physicians, Pllc | 6406205608 | 50 |
| Methodist North Emergency Physicians, Pllc | 0941659247 | 48 |
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. James Scully Jackson allows following entities to bill medicare on his behalf.
| Entity Name | Methodist University Emergency Physicians Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023899291 PECOS PAC ID: 4981052719 Enrollment ID: O20231204003274 |
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| Entity Name | Germantown Emergency Physicians, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518747526 PECOS PAC ID: 7214386812 Enrollment ID: O20231207003122 |
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| Entity Name | Methodist North Emergency Physicians, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801677083 PECOS PAC ID: 0941659247 Enrollment ID: O20231212002784 |
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| Entity Name | Methodist South Emergency Physicians, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609657873 PECOS PAC ID: 6406205608 Enrollment ID: O20231213002628 |
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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. James Scully 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 |
James Scully Jackson, MD 2540 Broad Ave Apt 452, Memphis, TN 38112-2644 Ph: (678) 463-7269 | James Scully Jackson, MD 251 S Claybrook St Ste A206, Memphis, TN 38104-3539 Ph: (901) 516-7509 |
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