Paul Jackson, DO - Medicare Emergency Medicine in Corpus Christi, TX

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Paul Jackson, DO is a medicare enrolled "Emergency Medicine" physician in Corpus Christi, Texas. He went to University Of Pikeville, Kentucky College Of Osteopathic Med and graduated in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Southeastern Emergency Physicians Llc and his current practice location is 600 Elizabeth St, Gme, Corpus Christi, Texas. You can reach out to his office (for appointments etc.) via phone at (361) 861-1864.

Paul Jackson is licensed to practice in Kentucky (license number 05035) 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 1114422599.

Contact Information

Paul Jackson, DO
600 Elizabeth St, Gme,
Corpus Christi, TX 78404
(361) 861-1864
Not Available

Map and Direction




Physician's Profile

Full NamePaul Jackson
GenderMale
SpecialityEmergency Medicine
Experience6 Years
Location600 Elizabeth St, Gme, Corpus Christi, Texas
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:
  • Paul Jackson attended and graduated from University Of Pikeville, Kentucky College Of Osteopathic Med in 2018
  NPI Data:
  • NPI Number: 1114422599
  • Provider Enumeration Date: 03/27/2018
  • Last Update Date: 08/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5092139857
  • Enrollment ID: I20210817004085

Medical Identifiers

Medical identifiers for Paul Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114422599NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 05035 (Kentucky)Secondary
208M00000XHospitalist 05035 (Kentucky)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207P00000XEmergency Medicine 05035 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Medical Center (bowling Green)Bowling green, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Emergency Physicians Llc2466364997491

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. Paul Jackson allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050302000285
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20090715000150
Entity NameKentucky Post-acute Medical Services 1 Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831628783
PECOS PAC ID: 9234471426
Enrollment ID: O20190509000789

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. Paul 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
Paul Jackson, DO
600 Elizabeth St, Gme,
Corpus Christi, TX 78404

Ph: (361) 861-1864		Paul Jackson, DO
600 Elizabeth St, Gme,
Corpus Christi, TX 78404

Ph: (361) 861-1864

Reviews and Comments


Emergency Medicine Doctors in Corpus Christi, TX

John Herrick, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2606 Hospital Blvd, Corpus Christi, TX 78405
Phone: 361-902-4000    
Ben A Leeson, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2606 Hospital Blvd, Emergency Department-memorial, Corpus Christi, TX 78405
Phone: 361-902-4151    
Dr. Kimberly Anne Barnes Leeson, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2606 Hospital Blvd, Corpus Christi, TX 78405
Phone: 361-902-4151    
Dr. Phillip Jackson, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4609 Schwerin Lake Dr, Corpus Christi, TX 78413
Phone: 361-808-9383    Fax: 361-808-9383
Marita Rafael, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3533 S Alameda St, Corpus Christi, TX 78411
Phone: 361-694-5100    
Louis Needleman, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5310 Javelina, Corpus Christi, TX 78413
Phone: 361-985-0470    
Larry D Johnson, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3614 Ocean Dr., Corpus Christi, TX 78411
Phone: 361-549-1758    Fax: 281-784-1555

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.