Patrick Jackson, - Medicare Emergency Medicine in Charlotte, NC

  1. Home
  2. Emergency Medicine
  3. NC
  4. Charlotte
Patrick Jackson, is a medicare enrolled "Emergency Medicine" physician in Charlotte, North Carolina. He went to University Of South Carolina School Of Medicine and graduated in 2013 and has 13 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Sound Physicians Emergency Medicine Of South Carolina Llc, Emergency Medicine Services Of Fl Llc and his current practice location is 1000 Blythe Blvd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 355-2171.

Patrick Jackson is licensed to practice in North Carolina (license number 2016-00882) 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 1629414701.

Contact Information

Patrick Jackson,
1000 Blythe Blvd,
Charlotte, NC 28203-5812
(704) 355-2171
Not Available

Map and Direction




Physician's Profile

Full NamePatrick Jackson
GenderMale
SpecialityEmergency Medicine
Experience13 Years
Location1000 Blythe Blvd, Charlotte, North Carolina
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:
  • Patrick Jackson attended and graduated from University Of South Carolina School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1629414701
  • Provider Enumeration Date: 05/16/2013
  • Last Update Date: 01/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4587957006
  • Enrollment ID: I20160721000631

Medical Identifiers

Medical identifiers for Patrick Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629414701NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 39300 (South Carolina)Secondary
207P00000XEmergency Medicine 2016-00882 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Brandon Regional HospitalBrandon, FLHospital
Musc Medical CenterCharleston, SCHospital
Memorial Hospital Of TampaTampa, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sound Physicians Emergency Medicine Of South Carolina Llc216370273938
Emergency Medicine Services Of Fl Llc8426413931491

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. Patrick Jackson allows following entities to bill medicare on his behalf.
Entity NameHilton Head Emergency Physicians, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326047176
PECOS PAC ID: 4688665235
Enrollment ID: O20040521000446
Entity NameEmergencymd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619383791
PECOS PAC ID: 7416179478
Enrollment ID: O20141107000731
Entity NameSound Physicians Emergency Medicine Of South Carolina Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730636168
PECOS PAC ID: 2163702739
Enrollment ID: O20161219000460
Entity NameApp Of South Carolina Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457878084
PECOS PAC ID: 3577821107
Enrollment ID: O20180103000650

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. Patrick 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
Patrick Jackson,
1000 Blythe Blvd,
Charlotte, NC 28203-5812

Ph: () -		Patrick Jackson,
1000 Blythe Blvd,
Charlotte, NC 28203-5812

Ph: (704) 355-2171

Reviews and Comments


Emergency Medicine Doctors in Charlotte, NC

Chelsea Kolshak,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-3658    
Nicole Hadley, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 136 E 36t St Suite 200, Charlotte, NC 28206
Phone: 704-801-3400    
Neha Ray, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-3181    Fax: 704-355-7047
Dr. Hannah Elizabeth Corral, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-3658    
John B Clark Jr., M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Randolph Rd, Ste 900, Charlotte, NC 28207
Phone: 704-377-2424    Fax: 704-377-2687
Kevin Hale Black, DDS, MD
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-2000    
Nilesh K. Patel, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-2171    

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.