Lisa Nicole Jackson, MD - Medicare Obstetrics & Gynecology in Jamaica, NY

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Lisa Nicole Jackson, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Jamaica, New York. Her current practice location is 89-06 135th St, Room 6a, Jamaica, New York. You can reach out to her office (for appointments etc.) via phone at (718) 206-6808.

Lisa Nicole Jackson is licensed to practice in New York (license number 60 245188) 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 1487844973.

Contact Information

Lisa Nicole Jackson, MD
89-06 135th St, Room 6a,
Jamaica, NY 11418
(718) 206-6808
Not Available

Map and Direction




Physician's Profile

Full NameLisa Nicole Jackson
GenderFemale
SpecialityObstetrics & Gynecology
Location89-06 135th St, Jamaica, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487844973
  • Provider Enumeration Date: 07/31/2007
  • Last Update Date: 07/31/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2860572260
  • Enrollment ID: I20080110000051

Medical Identifiers

Medical identifiers for Lisa Nicole Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487844973NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 60 245188 (New York)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. Lisa Nicole Jackson allows following entities to bill medicare on her behalf.
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124392212
PECOS PAC ID: 2264691070
Enrollment ID: O20120910000003

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. Lisa 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
Lisa Nicole Jackson, MD
354 E 91st St, Apt 1805,
New York, NY 10128-5354

Ph: (312) 213-6402		Lisa Nicole Jackson, MD
89-06 135th St, Room 6a,
Jamaica, NY 11418

Ph: (718) 206-6808

Reviews and Comments


Obstetrics & Gynecology Doctors in Jamaica, NY

Amy Y Lai, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 8906 135th Street, Suite 6a, Jamaica, NY 11418
Phone: 718-206-6708    Fax: 718-206-6829
Dr. Magdala Dominique Beauvil, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 18005 Hillside Ave, Jamaica, NY 11432
Phone: 516-526-6300    Fax: 718-286-3863
Sindy Carolina Moreno Rendon, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 8900 Van Wyck Expy, Jamaica, NY 11418
Phone: 718-206-0000    
Sofya Kilshtok, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 8900 Van Wyck Expy, Suite 6a, Jamaica, NY 11418
Phone: 718-206-6808    
Yair Rahmani, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 8268 164th St, Room B265, Jamaica, NY 11432
Phone: 718-883-4035    Fax: 718-883-6129
Kolawole Felix Akinnawonu, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 8268 164th St, Room B265, Jamaica, NY 11432
Phone: 718-883-4035    Fax: 718-883-6129
Chudi Chime, M.D
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 18730 Hillside Ave, Jamaica, NY 11432
Phone: 718-264-1111    Fax: 718-264-9125

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.