Kenneth Jason Jackson, MD in Lebanon, NH - Medicare Family Practice

Kenneth Jason Jackson, MD is a medicare enrolled "Family Medicine" physician in Lebanon, New Hampshire. He went to Howard University College Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Medical Affiliates Of Cape Cod Inc and his current practice location is 18 Old Etna Rd, Lebanon, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 650-5000.

Kenneth Jason Jackson is licensed to practice in New Hampshire (license number 22456) 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 1174083810.

Contact Information

	Kenneth Jason Jackson, MD
	18 Old Etna Rd, Lebanon, NH 03766-1937
	(603) 650-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Kenneth Jason Jackson
Gender	Male
Speciality	Family Practice
Experience	6 Years
Location	18 Old Etna Rd, Lebanon, New Hampshire
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:

Kenneth Jason Jackson attended and graduated from Howard University College Of Medicine in 2019

NPI Data:

NPI Number: 1174083810
Provider Enumeration Date: 03/20/2019
Last Update Date: 08/19/2022

Medicare PECOS Information:

PECOS PAC ID: 1052787389
Enrollment ID: I20240717000516

Medical Identifiers

Medical identifiers for Kenneth Jason Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174083810	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	22456 (New Hampshire)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vna Of Cape Cod	Hyannis, MA	Home health agency
Bayada Home Health Care , Inc	Hyannis, MA	Home health agency
Bayada Home Health Care Inc	Plymouth, MA	Home health agency
Cape Cod Healthcare	Hyannis, MA	Hospital
Mary Hitchcock Memorial Hospital	Lebanon, NH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medical Affiliates Of Cape Cod Inc	3577471564	208

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. Kenneth Jason Jackson allows following entities to bill medicare on his behalf.

Entity Name	Medical Affiliates Of Cape Cod Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770534927 PECOS PAC ID: 3577471564 Enrollment ID: O20040510001010

Entity Name	Physicians Of Cape Cod Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679832364 PECOS PAC ID: 9638326671 Enrollment ID: O20120828000193

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. Kenneth Jason 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
Kenneth Jason Jackson, MD 18 Old Etna Rd, Lebanon, NH 03766-1937 Ph: () -	Kenneth Jason Jackson, MD 18 Old Etna Rd, Lebanon, NH 03766-1937 Ph: (603) 650-5000

Reviews and Comments

Family Medicine Doctors in Lebanon, NH

Dr. David Scott Cockrum, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: --
Dr. Chukwusomnazu Emmanuel Nwanze, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 706-571-1430
Dr. Deborah A Glazer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10 Alice Peck Day Dr, Lebanon, NH 03766 Phone: 603-448-3122 Fax: 603-448-7491
Daniel Odonnell, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-3640
Leah G Matthew, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18 Old Etna Rd, Lebanon, NH 03766 Phone: 603-650-4000
Dr. Annika Meith Brown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18 Old Etna Rd, Lebanon, NH 03766 Phone: 603-650-4000
Milan F Satcher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18 Old Etna Rd, Lebanon, NH 03766 Phone: 603-650-4000

Kenneth Jason Jackson, MD - Medicare Family Practice in Lebanon, NH