Michael L Jackson, DO - Medicare Emergency Medicine in Tallahassee, FL

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Michael L Jackson, DO is a medicare enrolled "Emergency Medicine" physician in Tallahassee, Florida. He graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Southeastern Emergency Physicians Llc, Acs Primary Care Physicians - Southeast Pc and his current practice location is 2626 Capital Medical Blvd, Emergency Medicine, Tallahassee, Florida. You can reach out to his office (for appointments etc.) via phone at (580) 325-5000.

Michael L Jackson is licensed to practice in Florida (license number OS21831) 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 1790917318.

Contact Information

Michael L Jackson, DO
2626 Capital Medical Blvd, Emergency Medicine,
Tallahassee, FL 32308-4402
(580) 325-5000
Not Available

Map and Direction




Physician's Profile

Full NameMichael L Jackson
GenderMale
SpecialityEmergency Medicine
Experience16 Years
Location2626 Capital Medical Blvd, Tallahassee, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael L Jackson graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1790917318
  • Provider Enumeration Date: 08/15/2009
  • Last Update Date: 04/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3678864618
  • Enrollment ID: I20210720001775

Medical Identifiers

Medical identifiers for Michael L Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790917318NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 0102202687 (Virginia)Secondary
207P00000XEmergency Medicine 4229 (Tennessee)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207P00000XEmergency Medicine OS21831 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tennova Healthcare-clarksvilleClarksville, TNHospital
Grand Strand Regional Medical CenterMyrtle beach, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Emergency Physicians Llc2466364997627
Acs Primary Care Physicians - Southeast Pc5193620714354

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. Michael L Jackson allows following entities to bill medicare on his behalf.
Entity NameVanderbilt Integrated Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982625091
PECOS PAC ID: 7012817919
Enrollment ID: O20040108001021
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997
Entity NameEmergency Coverage Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427005008
PECOS PAC ID: 3072412592
Enrollment ID: O20050207000666

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. Michael L 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
Michael L Jackson, DO
2626 Capital Medical Blvd,
Tallahassee, FL 32308-4402

Ph: (850) 325-5000		Michael L Jackson, DO
2626 Capital Medical Blvd, Emergency Medicine,
Tallahassee, FL 32308-4402

Ph: (580) 325-5000

Reviews and Comments


Emergency Medicine Doctors in Tallahassee, FL

Joel Holcombe, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1309 Thomasville Road, Physician Billing Office, Tallahassee, FL 32303
Phone: 850-431-7289    Fax: 850-431-6975
John Christopher Jusino, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1300 Miccosukee Rd, Bixler Emergency Center, Tallahassee, FL 32308
Phone: 850-431-0756    Fax: 850-431-0779
Dr. Bansidas M Agravat, M.D
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1300 Miccosukee Rd, Tallahassee, FL 32308
Phone: 850-431-0756    Fax: 850-431-0779
Matthew C Davis, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1401 Centerville Rd Ste 300, Tallahassee, FL 32308
Phone: 508-775-1158    Fax: 850-656-3645
Dr. William David Nimmons, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Miccosukee Rd, Tallahassee, FL 32308
Phone: 850-510-5496    
Juvenal Havyarimana, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2626 Capital Medical Blvd, Tallahassee, FL 32308
Phone: 850-325-5000    
Fitz Blake Jr.,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Miccosukee Road, Bixler Emergency Center, Tallahassee, FL 32308
Phone: 850-431-0911    Fax: 850-431-0779

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.