Keith A Jackson, MD in San Diego, CA - Medicare Otolaryngology

Keith A Jackson, MD is a medicare enrolled "Otolaryngology" physician in San Diego, California. He went to University Of Michigan Medical School and graduated in 1985 and has 39 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Ritvik Mehta Md, Pc and his current practice location is 5405 Oberlin Dr Fl 2, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 909-0770.

Keith A Jackson is licensed to practice in Nevada (license number 8547) 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 1124091970.

Contact Information

	Keith A Jackson, MD
	5405 Oberlin Dr Fl 2, San Diego, CA 92121-1700
	(858) 909-0770
	(858) 909-0880

Map and Direction

Physician's Profile

Full Name	Keith A Jackson
Gender	Male
Speciality	Otolaryngology
Experience	39 Years
Location	5405 Oberlin Dr Fl 2, San Diego, California
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:

Keith A Jackson attended and graduated from University Of Michigan Medical School in 1985

NPI Data:

NPI Number: 1124091970
Provider Enumeration Date: 02/10/2006
Last Update Date: 01/25/2024

Medicare PECOS Information:

PECOS PAC ID: 4486739059
Enrollment ID: I20080306000193

Medical Identifiers

Medical identifiers for Keith A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124091970	NPI	-	NPPES
002018083	Medicaid	NV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	G58187 (California)	Secondary
207YX0901X	Otolaryngology - Otology & Neurotology	8547 (Nevada)	Secondary
207Y00000X	Otolaryngology	8547 (Nevada)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sharp Memorial Hospital	San diego, CA	Hospital

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. Keith A Jackson allows following entities to bill medicare on his behalf.

Entity Name	Emergency And Acute Care Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734

Entity Name	Keith A Jackson Md Limited
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487823324 PECOS PAC ID: 1759466329 Enrollment ID: O20080306000202

Entity Name	Ritvik Mehta Md, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538302997 PECOS PAC ID: 8022163286 Enrollment ID: O20090911000428

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. Keith A 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
Keith A Jackson, MD Po Box 500877, San Diego, CA 92150-0877 Ph: (858) 279-4221	Keith A Jackson, MD 5405 Oberlin Dr Fl 2, San Diego, CA 92121-1700 Ph: (858) 909-0770

Reviews and Comments

Otolaryngology Doctors in San Diego, CA

Dr. Jesse Raia Qualliotine, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781
Sapideh Gilani, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr # Mc8895, Division Of Otolaryngology Ucsd, San Diego, CA 92103 Phone: 619-543-7895
Dr. Sassan Alavi, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 3023 Bunker Hill St, Suite 204, San Diego, CA 92109 Phone: 858-483-0690
Dr. Kevin Thomas Brumund, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr Dept 8895, San Diego, CA 92103 Phone: 619-543-5910 Fax: 619-543-5521
Pierre G. Rivet, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 4033 3rd Ave, Suite 104, San Diego, CA 92103 Phone: 619-294-2350 Fax: 619-296-5719
Ronald T. Benz, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 10243 Genetic Center Dr, San Diego, CA 92121 Phone: 858-526-6136 Fax: 858-526-6117
Dr. Jeffrey Watson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3350 La Jolla Village Dr, M/c 9112-c, San Diego, CA 92161 Phone: 858-642-3637

Keith A Jackson, MD - Medicare Otolaryngology in San Diego, CA