Paul Jackson, DO in Livonia, MI - Medicare Family Practice

Paul Jackson, DO is a medicare enrolled "Family Medicine" physician in Livonia, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Vmd Primary Providers Eastern Michigan Pc and his current practice location is 17800 Newburgh Rd, Suite 103, Livonia, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 464-9540.

Paul Jackson is licensed to practice in Michigan (license number 5101012453) 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 1053391342.

Contact Information

	Paul Jackson, DO
	17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700
	(734) 464-9540
	(734) 464-0438

Map and Direction

Physician's Profile

Full Name	Paul Jackson
Gender	Male
Speciality	Family Practice
Experience	35 Years
Location	17800 Newburgh Rd, Livonia, 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:

Paul Jackson attended and graduated from Michigan State University College Of Osteopathic Medicine in 1989

NPI Data:

NPI Number: 1053391342
Provider Enumeration Date: 01/20/2006
Last Update Date: 03/25/2021

Medicare PECOS Information:

PECOS PAC ID: 9436161304
Enrollment ID: I20060613000240

Medical Identifiers

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

Identifier	Type	State	Issuer
1053391342	NPI	-	NPPES
3414244	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5101012453 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Residential Home Health	Troy, MI	Home health agency
Beaumont Hospital - Farmington Hills	Farmington hills, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vmd Primary Providers Eastern Michigan Pc	9234480575	59

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 Name	Envision Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578891750 PECOS PAC ID: 0840315867 Enrollment ID: O20101006000393

Entity Name	Vmd Primary Providers Eastern Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336625540 PECOS PAC ID: 9234480575 Enrollment ID: O20180925002900

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 Address	Practice Location Address
Paul Jackson, DO 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 Ph: (734) 464-9540	Paul Jackson, DO 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 Ph: (734) 464-9540

Reviews and Comments

Family Medicine Doctors in Livonia, MI

Dr. Elizabeth K. Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20321 Farmington Road, Livonia, MI 48152 Phone: 248-888-9000
Dr. Stella S Evangelista, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10475 Farmington Rd, Livonia, MI 48150 Phone: 734-427-9440 Fax: 734-427-1701
Katelyn E Bonkowski, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 37595 7 Mile Rd Ste 210, Livonia, MI 48152 Phone: 734-853-5694
Mark D Stacherski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 37595 7 Mile Rd, Suite 220, Livonia, MI 48152 Phone: 734-432-7581 Fax: 734-853-5698
Ganka Anguelova Spassova, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18770 Farmington Rd, Livonia, MI 48152 Phone: 734-284-6338
Dr. Keith M Tobin, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 28701 Plymouth Rd, Livonia, MI 48150 Phone: 734-427-9900 Fax: 734-427-8963

Paul Jackson, DO - Medicare Family Practice in Livonia, MI