Nicole Kimberly Jackson, DO - Medicare Thoracic Surgery in Olympia, WA

  1. Home
  2. Thoracic Surgery (Cardiothoracic Vascular Surgery)
  3. WA
  4. Olympia
Nicole Kimberly Jackson, DO is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Olympia, Washington. She graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Thoracic Surgery. She is a member of the group practice Peacehealth and her current practice location is 525 Lilly Rd Ne Ste 200, Olympia, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 493-4510.

Nicole Kimberly Jackson is licensed to practice in Washington (license number OP60418108) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508188343.

Contact Information

Nicole Kimberly Jackson, DO
525 Lilly Rd Ne Ste 200,
Olympia, WA 98506
(360) 493-4510
(360) 493-7759

Map and Direction




Physician's Profile

Full NameNicole Kimberly Jackson
GenderFemale
SpecialityThoracic Surgery
Experience16 Years
Location525 Lilly Rd Ne Ste 200, Olympia, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Kimberly Jackson graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1508188343
  • Provider Enumeration Date: 02/21/2010
  • Last Update Date: 06/12/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3173811890
  • Enrollment ID: I20161013000485

Medical Identifiers

Medical identifiers for Nicole Kimberly Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508188343NPI-NPPES
OL60099734MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) OP60418108 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph HospitalBellingham, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Peacehealth9537073960270

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. Nicole Kimberly Jackson allows following entities to bill medicare on her behalf.
Entity NamePeacehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356309553
PECOS PAC ID: 9537073960
Enrollment ID: O20031118001062
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174744304
PECOS PAC ID: 6709782600
Enrollment ID: O20031211000028

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. Nicole Kimberly 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
Nicole Kimberly Jackson, DO
Po Box 3360,
Portland, OR 97208-3360

Ph: () -		Nicole Kimberly Jackson, DO
525 Lilly Rd Ne Ste 200,
Olympia, WA 98506

Ph: (360) 493-4510

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Olympia, WA

Jennifer M Abelson, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 525 Lilly Rd Ne Ste 200, Olympia, WA 98506
Phone: 360-493-4510    Fax: 360-493-7759
Alexander E Abdullayev, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 525 Lilly Rd Ne Ste 200, Olympia, WA 98506
Phone: 360-493-4510    Fax: 360-493-7759

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.