Randolph Thomas Jackson, MD - Medicare Ophthalmology in Kansas City, KS

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Randolph Thomas Jackson, MD is a medicare enrolled "Ophthalmology" physician in Kansas City, Kansas. He went to Medical College Of Georgia School Of Medicine and graduated in 2000 and has 25 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Eye Care Llc, Eye Care Llc and his current practice location is 11010 Haskell Ave, Kansas City, Kansas. You can reach out to his office (for appointments etc.) via phone at (816) 478-1230.

Randolph Thomas Jackson is licensed to practice in Kansas (license number 31896) 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 1457310518.

Contact Information

Randolph Thomas Jackson, MD
11010 Haskell Ave,
Kansas City, KS 66109-8500
(816) 478-1230
(816) 350-4166

Map and Direction




Physician's Profile

Full NameRandolph Thomas Jackson
GenderMale
SpecialityOphthalmology
Experience25 Years
Location11010 Haskell Ave, Kansas City, Kansas
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:
  • Randolph Thomas Jackson attended and graduated from Medical College Of Georgia School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1457310518
  • Provider Enumeration Date: 03/18/2006
  • Last Update Date: 05/07/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 8022080324
  • Enrollment ID: I20070518000384

Medical Identifiers

Medical identifiers for Randolph Thomas Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457310518NPI-NPPES
P00685107OtherKSRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 46566 (Minnesota)Secondary
207W00000XOphthalmology 10506 (Montana)Secondary
207W00000XOphthalmology 31896 (Kansas)Primary
207W00000XOphthalmology 2006012805 (Missouri)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eye Care Llc438554460047
Eye Care Llc438554460047

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. Randolph Thomas Jackson allows following entities to bill medicare on his behalf.
Entity NameEye Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609066034
PECOS PAC ID: 4385544600
Enrollment ID: O20040204000494
Entity NameDiscover Eye Surgery Center, Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1861485138
PECOS PAC ID: 8426159195
Enrollment ID: O20070725000077

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. Randolph Thomas 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
Randolph Thomas Jackson, MD
4801 S Cliff Ave, Suite 100,
Independence, MO 64055-7015

Ph: (816) 350-4536		Randolph Thomas Jackson, MD
11010 Haskell Ave,
Kansas City, KS 66109-8500

Ph: (816) 478-1230

Reviews and Comments


Ophthalmology Doctors in Kansas City, KS

Martin A Mainster, M.D.
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160
Phone: 913-588-6605    Fax: 913-588-0888
Karl D Hendricks, M.D.
Ophthalmology
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Practice Location: 8919 Parallel Pkwy, Ste 226, Kansas City, KS 66112
Phone: 913-299-8800    Fax: 913-299-6581
Dr. Anne Berenbom Wishna, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 4000 Cambridge St, Kansas City, KS 66160
Phone: 913-588-1227    
Nikki Gill,
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160
Phone: 913-588-3974    
Maya Ramachandran, MD
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 3901 Rainbow Blvd # Ms 2027, Kansas City, KS 66160
Phone: 913-588-3974    
Gurinder Singh, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 155 South 18th Street, Suite 220, Kansas City, KS 66102
Phone: 913-321-7327    Fax: 913-321-3168

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.