Jordan Tyler Jackson, MD - Medicare Family Practice in Carthage, MS

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Jordan Tyler Jackson, MD is a medicare enrolled "Family Medicine" physician in Carthage, Mississippi. He graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Baptist Medical Center-leake, Inc., Baptist Medical Center-leake, Inc. and his current practice location is 1100 Highway 16 E, Carthage, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 267-1470.

Jordan Tyler Jackson is licensed to practice in Mississippi (license number 33753) 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 1700469012.

Contact Information

Jordan Tyler Jackson, MD
1100 Highway 16 E,
Carthage, MS 39051-4222
(601) 267-1470
(601) 267-1469

Map and Direction




Physician's Profile

Full NameJordan Tyler Jackson
GenderMale
SpecialityFamily Practice
Experience5 Years
Location1100 Highway 16 E, Carthage, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jordan Tyler Jackson graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1700469012
  • Provider Enumeration Date: 05/04/2021
  • Last Update Date: 07/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7012396021
  • Enrollment ID: I20220622002100

Medical Identifiers

Medical identifiers for Jordan Tyler Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700469012NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 33753 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sta Home Health And HospiceCarthage, MSHome health agency
Mississippi Homecare Of JacksonJackson, MSHome health agency
Baptist Medical Center-leakeCarthage, MSHospital
Mississippi Baptist Medical CenterJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baptist Medical Center-leake, Inc.721410296115
Baptist Medical Center-leake, Inc.721410296115

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. Jordan Tyler Jackson allows following entities to bill medicare on his behalf.
Entity NameSelf Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982836847
PECOS PAC ID: 6002953916
Enrollment ID: O20091027000071

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. Jordan Tyler 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 AddressPractice Location Address
Jordan Tyler Jackson, MD
965 Ridge Lake Blvd Ste 315,
Memphis, TN 38120-9401

Ph: (877) 348-1281		Jordan Tyler Jackson, MD
1100 Highway 16 E,
Carthage, MS 39051-4222

Ph: (601) 267-1470

Reviews and Comments


Family Medicine Doctors in Carthage, MS

Dr. Jonathan Malone Buchanan, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Highway 16 E, Carthage, MS 39051
Phone: 601-267-1470    Fax: 601-267-1469
David Lawrence Moody, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1071 E Franklin St, Carthage, MS 39051
Phone: 601-267-4562    Fax: 601-267-4589

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.