Jeremy Lazatin Jackson, MD in Union City, CA

Jeremy Lazatin Jackson, MD is a medicare enrolled "Family Medicine" physician in Union City, California. Her current practice location is 3555 Whipple Rd, Union City, California. You can reach out to her office (for appointments etc.) via phone at (510) 675-4010.

Jeremy Lazatin Jackson is licensed to practice in California (license number 194062) 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 1780262246.

Contact Information

	Jeremy Lazatin Jackson, MD
	3555 Whipple Rd, Union City, CA 94587-1507
	(510) 675-4010
	Not Available

Map and Direction

Physician's Profile

Full Name	Jeremy Lazatin Jackson
Gender	Female
Speciality	Family Medicine
Location	3555 Whipple Rd, Union City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780262246
Provider Enumeration Date: 03/29/2021
Last Update Date: 08/13/2024

Medicare PECOS Information:

PECOS PAC ID: 6002218880
Enrollment ID: I20240722003544

Medical Identifiers

Medical identifiers for Jeremy Lazatin Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780262246	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	194062 (California)	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. Jeremy Lazatin Jackson allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Jeremy Lazatin 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
Jeremy Lazatin Jackson, MD 701 W 5th St, Odessa, TX 79763-4206 Ph: (432) 703-5375	Jeremy Lazatin Jackson, MD 3555 Whipple Rd, Union City, CA 94587-1507 Ph: (510) 675-4010

Reviews and Comments

Family Medicine Doctors in Union City, CA

Dr. Son Lam Duc Nguyen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3553 Whipple Rd, Union City, CA 94587 Phone: 510-454-1000
Dr. Tam T Nguyen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 33077 Alvarado Niles Rd, Union City, CA 94587 Phone: 510-248-1018 Fax: 510-605-6055
May Y. Mar, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3553 Whipple Rd, Union City, CA 94587 Phone: 510-675-4010
Antonina Bondyasheva, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3553 Whipple Rd, Union City, CA 94587 Phone: 510-454-1000
Abby Wang, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3555 Whipple Rd Bldg B, Union City, CA 94587 Phone: 510-602-1311
Isabel Christina Tejeda, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3553 Whipple Rd, Union City, CA 94587 Phone: 510-675-4668 Fax: 510-675-2154
Dr. Rudolph M Chang, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3553 Whipple Rd, Union City, CA 94587 Phone: 510-454-1000

Jeremy Lazatin Jackson, MD - Medicare Family Medicine in Union City, CA