Kathy M Jackson, DO - Medicare Family Medicine in La Follette, TN

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Kathy M Jackson, DO is a medicare enrolled "Family Medicine" physician in La Follette, Tennessee. Her current practice location is 502 W Central Ave, La Follette, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 562-1705.

Kathy M Jackson is licensed to practice in Michigan (license number 5101013273) 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 1215971379.

Contact Information

Kathy M Jackson, DO
502 W Central Ave,
La Follette, TN 37766-3400
(423) 562-1705
Not Available

Map and Direction




Physician's Profile

Full NameKathy M Jackson
GenderFemale
SpecialityFamily Medicine
Location502 W Central Ave, La Follette, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215971379
  • Provider Enumeration Date: 06/16/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2365446127
  • Enrollment ID: I20141224000362

Medical Identifiers

Medical identifiers for Kathy M Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215971379NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5101013273 (Michigan)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. Kathy M Jackson allows following entities to bill medicare on her behalf.
Entity NameAlbuquerque Indian Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659458917
PECOS PAC ID: 7719883164
Enrollment ID: O20031208001026
Entity NameZia Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831250398
PECOS PAC ID: 4789652488
Enrollment ID: O20040921000441

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. Kathy M 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
Kathy M Jackson, DO
Po Box 111,
Cape Girardeau, MO 63702-0111

Ph: (423) 562-1705		Kathy M Jackson, DO
502 W Central Ave,
La Follette, TN 37766-3400

Ph: (423) 562-1705

Reviews and Comments


Family Medicine Doctors in La Follette, TN

Dr. Curtis Cecil Sexton, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 130 Independence Ln, La Follette, TN 37766
Phone: 423-562-1705    Fax: 423-566-3718
Dr. Jacob Robbins, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 923 E Central Ave, La Follette, TN 37766
Phone: 423-907-1200    
Murugesen Dhandapani, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2425 Jacksboro Pike, La Follette, TN 37766
Phone: 423-566-4748    Fax: 423-566-4119
Shaan Valji, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 130 Independence Ln, La Follette, TN 37766
Phone: 423-562-1705    Fax: 423-566-3718
Krista A Bolton, NP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 109 Independence Ln Ste 200, La Follette, TN 37766
Phone: 423-562-4968    Fax: 423-562-5603
Suzanne M Pearman, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2145 Jacksboro Pike, La Follette, TN 37766
Phone: 423-907-1700    Fax: 423-907-1711

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.