Kyle Jefferson Jackson, DO in Tyler, TX

Kyle Jefferson Jackson, DO is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Tyler, Texas. He went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2011 and has 13 years of diverse experience with area of expertise as Endocrinology. He is a member of the group practice Christus Trinity Clinic and his current practice location is 619 S Fleishel Ave, Suite 327, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 510-1173.

Kyle Jefferson Jackson is licensed to practice in Texas (license number Q6851) 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 1548569056.

Contact Information

	Kyle Jefferson Jackson, DO
	619 S Fleishel Ave, Suite 327, Tyler, TX 75701-2004
	(903) 510-1173
	Not Available

Map and Direction

Physician's Profile

Full Name	Kyle Jefferson Jackson
Gender	Male
Speciality	Endocrinology
Experience	13 Years
Location	619 S Fleishel Ave, Tyler, Texas
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:

Kyle Jefferson Jackson attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2011

NPI Data:

NPI Number: 1548569056
Provider Enumeration Date: 03/23/2011
Last Update Date: 09/20/2016

Medicare PECOS Information:

PECOS PAC ID: 3971896937
Enrollment ID: I20160728000523

Medical Identifiers

Medical identifiers for Kyle Jefferson Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548569056	NPI	-	NPPES
8GA283	Other	TX	BCBS
360453001	Medicaid	TX
75-2616977-123	Other	TX	TRICARE
P01697215	Other	TX	RAIL ROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	Q6851 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Mother Frances Hospital	Tyler, TX	Hospital
Christus Mother Frances Hospital- Winnsboro	Winnsboro, TX	Hospital
Christus Mother Frances Hospital Sulphur Springs	Sulphur springs, TX	Hospital
Christus Mother Frances Hospital- Jacksonville	Jacksonville, TX	Hospital
Christus Good Shepherd Medical Center	Longview, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christus Trinity Clinic	3072426741	1227

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. Kyle Jefferson Jackson allows following entities to bill medicare on his behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

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. Kyle Jefferson 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
Kyle Jefferson Jackson, DO 619 S Fleishel Ave, Suite 327, Tyler, TX 75701-2004 Ph: (903) 510-1173	Kyle Jefferson Jackson, DO 619 S Fleishel Ave, Suite 327, Tyler, TX 75701-2004 Ph: (903) 510-1173

Reviews and Comments

Internal Medicine Doctors in Tyler, TX

Ifeatu Uchenna Oti, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Preetham Reddy Muskula, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715
Dr. Varalaxmi Bhavani Nannaka, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 912 S Fleishel Ave, Tyler, TX 75701 Phone: 903-592-6901
David A Brickey, DO Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-525-1914
Randy Craig Randall, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 1783 Troup Highway, Tyler, TX 75701 Phone: 903-595-2283 Fax: 903-595-1063
Nabeel K Ahmed, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Dr. Amanda Nicole Long, D.O. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 619 S Fleishel Ave, Ste 327, Tyler, TX 75701 Phone: 903-510-1173

Kyle Jefferson Jackson, DO - Medicare Endocrinology in Tyler, TX