Robert E Jackson, MD - Medicare Urology in Boise, ID

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Robert E Jackson, MD is a medicare enrolled "Urology" physician in Boise, Idaho. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2006 and has 19 years of diverse experience with area of expertise as Urology. He is a member of the group practice Urology Clinic and his current practice location is 520 S Eagle Rd, Suite 3112, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 381-2222.

Robert E Jackson is licensed to practice in Michigan (license number 4301087650) 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 1184740045.

Contact Information

Robert E Jackson, MD
520 S Eagle Rd, Suite 3112,
Boise, ID 83712-6241
(208) 381-2222
Not Available

Map and Direction




Physician's Profile

Full NameRobert E Jackson
GenderMale
SpecialityUrology
Experience19 Years
Location520 S Eagle Rd, Boise, Idaho
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:
  • Robert E Jackson attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2006
  NPI Data:
  • NPI Number: 1184740045
  • Provider Enumeration Date: 03/22/2007
  • Last Update Date: 12/13/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9830347533
  • Enrollment ID: I20130305000587

Medical Identifiers

Medical identifiers for Robert E Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184740045NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 4301087650 (Michigan)Primary
390200000XStudent In An Organized Health Care Education/training Program 4301087650 (Michigan)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital
Saint Alphonsus Regional Medical CenterBoise, IDHospital
Treasure Valley HospitalBoise, IDHospital
St Luke's Wood River Medical CenterKetchum, IDHospital
St Luke's Nampa Medical CenterNampa, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Urology Clinic83255876523

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. Robert E Jackson allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045
Entity NameUrology Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659113975
PECOS PAC ID: 8325587652
Enrollment ID: O20240829003369

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. Robert E 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
Robert E Jackson, MD
190 E Bannock St,
Boise, ID 83712-6241

Ph: (208) 381-2222		Robert E Jackson, MD
520 S Eagle Rd, Suite 3112,
Boise, ID 83712-6241

Ph: (208) 381-2222

Reviews and Comments


Urology Doctors in Boise, ID

Sean Patrick Stroup, M.D.
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Phone: 208-381-4700    
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Phone: 208-381-4700    Fax: 208-381-4977
Michele B Ebbers, MD
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Phone: 208-381-6196    Fax: 208-381-6199
Dr. Donald E Walker, MD
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Dr. Edwin Manley Briggs, M.D.
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Dr. Stephen A. Brassell, MD
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Practice Location: 100 E Idaho St, Boise, ID 83712
Phone: 208-381-2222    

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.