Samuel Barrett Jackson, MD in Burlingame, CA

Samuel Barrett Jackson, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Burlingame, California. His current practice location is 1501 Trousdale Dr, Burlingame, California. You can reach out to his office (for appointments etc.) via phone at (650) 652-8600.

Samuel Barrett Jackson is licensed to practice in California (license number A163124) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689105223.

Contact Information

	Samuel Barrett Jackson, MD
	1501 Trousdale Dr, Burlingame, CA 94010-4506
	(650) 652-8600
	Not Available

Map and Direction

Physician's Profile

Full Name	Samuel Barrett Jackson
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	1501 Trousdale Dr, Burlingame, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689105223
Provider Enumeration Date: 03/24/2017
Last Update Date: 09/23/2025

Medicare PECOS Information:

PECOS PAC ID: 2365878139
Enrollment ID: I20200522002490

Medical Identifiers

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

Identifier	Type	State	Issuer
1689105223	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0011X	Internal Medicine - Interventional Cardiology	A163124 (California)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	A163124 (California)	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. Samuel Barrett Jackson allows following entities to bill medicare on his behalf.

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439

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. Samuel Barrett 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
Samuel Barrett Jackson, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8771	Samuel Barrett Jackson, MD 1501 Trousdale Dr, Burlingame, CA 94010-4506 Ph: (650) 652-8600

Reviews and Comments

Internal Medicine Doctors in Burlingame, CA

Dr. Jane I Huang, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1501 Trousdale Dr, Burlingame, CA 94010 Phone: 650-696-5400
Richard C Liu, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1501 Trousdale Dr, Burlingame, CA 94010 Phone: 650-458-0032
Dr. Sami H Bogale, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1501 Trousdale Dr, Burlingame, CA 94010 Phone: 650-696-5400
Tak Poon, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1501 Trousdale Dr, 2nd Floor, Burlingame, CA 94010 Phone: 650-652-8600
Dr. Amir Ali Schricker, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1501 Trousdale Dr, Burlingame, CA 94010 Phone: 650-652-8600
Kevin Kin Chiu Yuen, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1501 Trousdale Dr, Burlingame, CA 94010 Phone: 650-389-9800
Dr. Chhavi Mehta, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1501 Trousdale Drive, 3rd Floor, Burlingame, CA 94010 Phone: 650-652-8500 Fax: 650-652-8501

Samuel Barrett Jackson, MD - Medicare Internal Medicine in Burlingame, CA