Jerreyll Travis Jackson, MD - Ophthalmology in Long Island City, NY

Jerreyll Travis Jackson, MD is a Ophthalmology physician based in Long Island City, New York. Jerreyll Travis Jackson is licensed to practice in New York (license number 237264) and his current practice location is 4604 31st Ave, Long Island City, New York. He can be reached at his office (for appointments etc.) via phone at (212) 889-1171.

NPI number for Jerreyll Travis Jackson is 1629009576 and his current mailing address is 4604 31st Ave, Long Island City, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629009576.

Contact Information

Jerreyll Travis Jackson, MD
4604 31st Ave,
Long Island City, NY 11103-1842
(212) 889-1171
Not Available

Map and Direction




Physician's Profile

Full NameJerreyll Travis Jackson
GenderMale
SpecialityOphthalmology
Location4604 31st Ave, Long Island City, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629009576
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 12/08/2008

Medical Identifiers

Medical identifiers for Jerreyll Travis Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629009576NPI-NPPES
2751471MedicaidNY
02884251MedicaidNY
0168092MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 25MA07982400 (New Jersey)Secondary
207W00000XOphthalmology 043661 (Connecticut)Secondary
207W00000XOphthalmology 237264 (New York)Primary

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. Jerreyll Travis Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jerreyll Travis Jackson, MD
4604 31st Ave,
Long Island City, NY 11103-1842

Ph: (212) 889-1171
Jerreyll Travis Jackson, MD
4604 31st Ave,
Long Island City, NY 11103-1842

Ph: (212) 889-1171

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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