Mary Kathleen Jackson, in Kingwood, TX - Medicare Obstetrics & Gynecology

Mary Kathleen Jackson, is a medicare enrolled "Obstetrics & Gynecology" physician in Kingwood, Texas. Her current practice location is 23802 Highway 59 N, Kingwood, Texas. You can reach out to her office (for appointments etc.) via phone at (281) 312-5400.

Mary Kathleen Jackson is licensed to practice in Texas (license number P6191) 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 1558595371.

Contact Information

	Mary Kathleen Jackson,
	23802 Highway 59 N, Kingwood, TX 77339-1510
	(281) 312-5400
	(281) 312-5440

Map and Direction

Physician's Profile

Full Name	Mary Kathleen Jackson
Gender	Female
Speciality	Obstetrics & Gynecology
Location	23802 Highway 59 N, Kingwood, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558595371
Provider Enumeration Date: 05/07/2009
Last Update Date: 04/21/2014

Medicare PECOS Information:

PECOS PAC ID: 0143463794
Enrollment ID: I20130829000142

Medical Identifiers

Medical identifiers for Mary Kathleen Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558595371	NPI	-	NPPES
328359001	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	P6191 (Texas)	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. Mary Kathleen Jackson allows following entities to bill medicare on her behalf.

Entity Name	Obhg Texas Holdings Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083917769 PECOS PAC ID: 3577713072 Enrollment ID: O20121018000279

Entity Name	Privia Medical Group Gulf Coast Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578969465 PECOS PAC ID: 4688999022 Enrollment ID: O20150206000763

Entity Name	Woodlands Womens Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194185991 PECOS PAC ID: 2264718147 Enrollment ID: O20170406002474

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. Mary Kathleen 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
Mary Kathleen Jackson, 23802 Highway 59 N, Kingwood, TX 77339-1510 Ph: (281) 312-5465	Mary Kathleen Jackson, 23802 Highway 59 N, Kingwood, TX 77339-1510 Ph: (281) 312-5400

Reviews and Comments

Obstetrics & Gynecology Doctors in Kingwood, TX

Dr. Moncenya Ladonna Chatman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 350 Kingwood Medical Dr, Kingwood, TX 77339 Phone: 281-205-0204 Fax: 281-407-7623
Dr. Julie A Bernell, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 19701 Kingwood Dr Bldg 5, Kingwood, TX 77339 Phone: 281-319-4111 Fax: 281-319-4623
Dr. Sujatha Nvenkata Thota, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 23423 Highway 59 N, Apt 1115, Kingwood, TX 77339 Phone: 231-570-6912
Mrs. Louise T Mann, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 23802 Highway 59 N, Kingwood, TX 77339 Phone: 281-312-5400 Fax: 281-312-5440
Richard Jasper Spinnato, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 350 Kingwood Medical Drive, #300, Kingwood, TX 77339 Phone: 281-359-7000 Fax: 281-359-5833
Angela Dawn Earhart, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 350 Kingwood Medical Drive, Suite 215, Kingwood, TX 77339 Phone: 832-978-5611 Fax: 281-205-0204
Dr. Deborah Ann Hendryx, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 19701 Kingwood Dr, Building 5, Kingwood, TX 77339 Phone: 281-319-4111 Fax: 281-319-4623

Mary Kathleen Jackson, - Medicare Obstetrics & Gynecology in Kingwood, TX