Lyle Thomas Jackson Jr, MD in Eugene, OR - Medicare Orthopedic Surgery

Lyle Thomas Jackson Jr, MD is a medicare enrolled "Orthopaedic Surgery - Foot And Ankle Surgery" physician in Eugene, Oregon. He went to University Of Washington School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Slocum Orthopedics Pc and his current practice location is 55 Coburg Rd, Eugene, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 485-8111.

Lyle Thomas Jackson Jr is licensed to practice in Oregon (license number MD176209) 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 1144540790.

Contact Information

	Lyle Thomas Jackson Jr, MD
	55 Coburg Rd, Eugene, OR 97401-2433
	(541) 485-8111
	Not Available

Map and Direction

Physician's Profile

Full Name	Lyle Thomas Jackson Jr
Gender	Male
Speciality	Orthopedic Surgery
Experience	14 Years
Location	55 Coburg Rd, Eugene, Oregon
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:

Lyle Thomas Jackson Jr attended and graduated from University Of Washington School Of Medicine in 2010

NPI Data:

NPI Number: 1144540790
Provider Enumeration Date: 06/06/2010
Last Update Date: 12/27/2022

Medicare PECOS Information:

PECOS PAC ID: 6103075486
Enrollment ID: I20160802002711

Medical Identifiers

Medical identifiers for Lyle Thomas Jackson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144540790	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XX0004X	Orthopaedic Surgery - Foot And Ankle Surgery	16057 (Nevada)	Secondary
207XX0004X	Orthopaedic Surgery - Foot And Ankle Surgery	MD176209 (Oregon)	Primary
207X00000X	Orthopaedic Surgery	32738 (South Carolina)	Secondary
207X00000X	Orthopaedic Surgery	16057 (Nevada)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mckenzie-willamette Medical Center	Springfield, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Slocum Orthopedics Pc	0547164758	64

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. Lyle Thomas Jackson Jr allows following entities to bill medicare on his behalf.

Entity Name	Slocum Orthopedics Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881694867 PECOS PAC ID: 0547164758 Enrollment ID: O20031120000369

Entity Name	Cor Care Of Or, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588126650 PECOS PAC ID: 0547696882 Enrollment ID: O20200205002729

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. Lyle Thomas Jackson Jr 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
Lyle Thomas Jackson Jr, MD 55 Coburg Rd, Eugene, OR 97401-2433 Ph: (541) 485-8111	Lyle Thomas Jackson Jr, MD 55 Coburg Rd, Eugene, OR 97401-2433 Ph: (541) 485-8111

Reviews and Comments

Orthopaedic Surgery Doctors in Eugene, OR

Dr. Raymond Charles Ray, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 Hilyard St, Suite 230, Eugene, OR 97401 Phone: 458-205-6041
Rudolf Hoellrich, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Coburg Rd, Eugene, OR 97401 Phone: 541-485-8111 Fax: 541-342-6379
Olugbenga Omotayo Sulaiman, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1200 Hilyard St, Suite 600, Eugene, OR 97401 Phone: 541-485-8111 Fax: 541-342-6379
Dr. Justin D Hudson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 Country Club Rd, Eugene, OR 97401 Phone: 541-242-4812
Dr. Anna S Van Der Horst, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Coburg Rd, Eugene, OR 97401 Phone: 541-868-0873
Steven Nayan Shah, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Coburg Rd, Eugene, OR 97401 Phone: 541-485-8111 Fax: 541-342-6379
Jason Tavakolian, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Coburg Rd, Eugene, OR 97401 Phone: 541-485-8111 Fax: 541-342-6379

Lyle Thomas Jackson Jr, MD - Medicare Orthopedic Surgery in Eugene, OR