Dr Kimberly Nicole Jackson, DO - Medicare Family Practice in Warren, OH

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Dr Kimberly Nicole Jackson, DO is a medicare enrolled "Family Medicine" physician in Warren, Ohio. She went to Ohio University, College Of Osteopathic Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Triad Health Services Llc and her current practice location is 2581 North Rd Ne, Warren, Ohio. You can reach out to her office (for appointments etc.) via phone at (234) 287-6802.

Dr Kimberly Nicole Jackson is licensed to practice in Ohio (license number 34.011422) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447536370.

Contact Information

Dr Kimberly Nicole Jackson, DO
2581 North Rd Ne,
Warren, OH 44483-3052
(234) 287-6802
(330) 372-4437

Map and Direction




Physician's Profile

Full NameDr Kimberly Nicole Jackson
GenderFemale
SpecialityFamily Practice
Experience13 Years
Location2581 North Rd Ne, Warren, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kimberly Nicole Jackson attended and graduated from Ohio University, College Of Osteopathic Medicine in 2011
  NPI Data:
  • NPI Number: 1447536370
  • Provider Enumeration Date: 10/24/2011
  • Last Update Date: 09/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3870711526
  • Enrollment ID: I20140821002469

Medical Identifiers

Medical identifiers for Dr Kimberly Nicole Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447536370NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 34.011422 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Surgical Hospital At SouthwoodsYoungstown, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Triad Health Services Llc9032367917187

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. Dr Kimberly Nicole Jackson allows following entities to bill medicare on her behalf.
Entity Name4m Emergency Systems Tod Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902859556
PECOS PAC ID: 3173547593
Enrollment ID: O20060124000548
Entity NameRiver Valley Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891756870
PECOS PAC ID: 3971506932
Enrollment ID: O20060810000601
Entity NameTriad Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588925457
PECOS PAC ID: 9032367917
Enrollment ID: O20120918000787

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. Dr Kimberly Nicole 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
Dr Kimberly Nicole Jackson, DO
Po Box 645409,
Pittsburgh, PA 15264-5252

Ph: (330) 386-6442		Dr Kimberly Nicole Jackson, DO
2581 North Rd Ne,
Warren, OH 44483-3052

Ph: (234) 287-6802

Reviews and Comments


Family Medicine Doctors in Warren, OH

Harriet F Lemberger-schor, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1932 Niles Cortland Rd Ne Ste P, Warren, OH 44484
Phone: 330-856-7702    Fax: 330-856-1096
Renee N Brumbaugh, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1932 Niles Cortland Rd Ne Ste P, Warren, OH 44484
Phone: 330-856-7702    Fax: 330-856-1096
Dr. Frank G Veres, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4681 Mahoning Ave Nw, Warren, OH 44483
Phone: 330-847-7778    Fax: 330-847-8166
Dr. Arthur Godfrey Lapping, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 204 Monroe St Nw, Warren, OH 44483
Phone: 330-392-5993    
Dr. Edward Glenn Myers, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2581 North Rd Ne, Warren, OH 44483
Phone: 330-372-5200    Fax: 330-372-4437
Dr. Richard Anthony Hart, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 213 Perkinswood Blvd Ne, Warren, OH 44483
Phone: 330-399-2701    
Jagdish Hariprasad Patel, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1296 Tod Pl Nw, Warren, OH 44485
Phone: 330-841-1001    Fax: 330-841-4644

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.