Matthew R Jackson, DO in Traverse City, MI

Matthew R Jackson, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Traverse City, Michigan. He graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Crystal Lake Clinic Pc and his current practice location is 1225 W Front St, Traverse City, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 935-0788.

Matthew R Jackson is licensed to practice in Michigan (license number 5101018472) 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 1588897896.

Contact Information

	Matthew R Jackson, DO
	1225 W Front St, Traverse City, MI 49684-2368
	(231) 935-0788
	(231) 935-0787

Map and Direction

Physician's Profile

Full Name	Matthew R Jackson
Gender	Male
Speciality	Family Practice
Experience	21 Years
Location	1225 W Front St, Traverse City, Michigan
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:

Matthew R Jackson graduated from medical school in 2005

NPI Data:

NPI Number: 1588897896
Provider Enumeration Date: 09/02/2009
Last Update Date: 12/21/2020

Medicare PECOS Information:

PECOS PAC ID: 5597994087
Enrollment ID: I20140818002073

Medical Identifiers

Medical identifiers for Matthew R Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588897896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5101018472 (Michigan)	Secondary
207QS0010X	Family Medicine - Sports Medicine	34.010954 (Ohio)	Secondary
207QS0010X	Family Medicine - Sports Medicine	5101018472 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Munson Home Care	Traverse city, MI	Home health agency
Munson Medical Center	Traverse city, MI	Hospital
Paul Oliver Memorial Hospital	Frankfort, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Crystal Lake Clinic Pc	0648259010	11

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. Matthew R Jackson allows following entities to bill medicare on his behalf.

Entity Name	Saginaw Cooperative Hospitals Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346344991 PECOS PAC ID: 3971400318 Enrollment ID: O20031215000723

Entity Name	Crystal Lake Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134491731 PECOS PAC ID: 0648259010 Enrollment ID: O20040802000634

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. Matthew R 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
Matthew R Jackson, DO 1225 W Front St, Traverse City, MI 49684-2368 Ph: (231) 935-0788	Matthew R Jackson, DO 1225 W Front St, Traverse City, MI 49684-2368 Ph: (231) 935-0788

Reviews and Comments

Family Medicine Doctors in Traverse City, MI

Satya Pillay, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Medical Campus Dr, Traverse City, MI 49684 Phone: 231-935-8000 Fax: 231-935-8099
Samantha K Windle, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Medical Campus Dr, Traverse City, MI 49684 Phone: 231-935-8000 Fax: 231-935-8099
Dr. Donald James Aiken, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16544 Wrightwood Terrace Dr, Traverse City, MI 49686 Phone: 231-223-7465
Kaitlyn Lee Kilpatrick, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 Medical Campus Dr, Traverse City, MI 49684 Phone: 231-935-8000 Fax: 231-935-8099
David J Wilcox, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 906 Business Park Dr, Traverse City, MI 49686 Phone: 800-968-6866
Mark A Jackson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Pavilions Circle, Mark A Jackson Md Plc, Traverse City, MI 49684 Phone: 231-935-0913 Fax: 231-935-0984
Gary Stephen Ruoff, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 South Garfield Ave, Traverse City, MI 49686 Phone: 231-935-0580 Fax: 231-935-0584

Matthew R Jackson, DO - Medicare Family Practice in Traverse City, MI