Rhonda Renee Jackson, MD is a medicare enrolled "Anesthesiology" physician in Mcdonough, Georgia. Her current practice location is
156 Foster Dr Spc C, Mcdonough, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 968-9978.
Rhonda Renee Jackson is licensed to practice in Georgia (license number 92856) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063828416.
Physician's Profile
| Full Name | Rhonda Renee Jackson |
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| Gender | Female |
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| Speciality | Anesthesiology |
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| Location | 156 Foster Dr Spc C, Mcdonough, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063828416
- Provider Enumeration Date: 07/07/2014
- Last Update Date: 06/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 0244456630
- Enrollment ID: I20220804000351
Medical Identifiers
Medical identifiers for Rhonda Renee Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063828416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | MD468479 (Pennsylvania) | Secondary |
| 207L00000X | Anesthesiology | 4301105792 (Michigan) | Secondary |
| 207L00000X | Anesthesiology | 85286 (South Carolina) | Secondary |
| 207L00000X | Anesthesiology | 92856 (Georgia) | Primary |
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. Rhonda Renee Jackson allows following entities to bill medicare on her behalf.
| Entity Name | Capitol Anesthesiology, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245287192
PECOS PAC ID: 5799774642
Enrollment ID: O20040507000216 |
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| Entity Name | Radius Anesthesia Of Georgia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861996225
PECOS PAC ID: 2567897127
Enrollment ID: O20200109000552 |
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| Entity Name | Anesthesia Services Of Atlanta, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124657465
PECOS PAC ID: 6406252949
Enrollment ID: O20210908001767 |
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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. Rhonda Renee 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 |
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Rhonda Renee Jackson, MD
156 Foster Dr Spc C,
Mcdonough, GA 30253-5346
Ph: (770) 968-9978 | Rhonda Renee Jackson, MD
156 Foster Dr Spc C,
Mcdonough, GA 30253-5346
Ph: (770) 968-9978 |
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