Dr Taylor Jeremy Deane Jackson, MD in Orange, CA

Dr Taylor Jeremy Deane Jackson, MD is a medicare enrolled "Orthopaedic Surgery" physician in Orange, California. His current practice location is 1201 W La Veta Ave, Orange, California. You can reach out to his office (for appointments etc.) via phone at (714) 509-8649.

Dr Taylor Jeremy Deane Jackson is licensed to practice in New York (license number 327035) 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 1326543752.

Contact Information

	Dr Taylor Jeremy Deane Jackson, MD
	1201 W La Veta Ave, Orange, CA 92868-4203
	(714) 509-8649
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Taylor Jeremy Deane Jackson
Gender	Male
Speciality	Orthopaedic Surgery
Location	1201 W La Veta Ave, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326543752
Provider Enumeration Date: 03/27/2018
Last Update Date: 08/15/2025

Medicare PECOS Information:

PECOS PAC ID: 0749538619
Enrollment ID: I20231101003203

Medical Identifiers

Medical identifiers for Dr Taylor Jeremy Deane Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326543752	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	65864 (Minnesota)	Secondary
207X00000X	Orthopaedic Surgery	A184355 (California)	Secondary
207X00000X	Orthopaedic Surgery	327035 (New York)	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. Dr Taylor Jeremy Deane Jackson allows following entities to bill medicare on his behalf.

Entity Name	Rady Children's Hospital - San Diego
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669617197 PECOS PAC ID: 3971677493 Enrollment ID: O20091015000149

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. Dr Taylor Jeremy Deane 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
Dr Taylor Jeremy Deane Jackson, MD 1201 W La Veta Ave, Orange, CA 92868-4203 Ph: (714) 509-8649	Dr Taylor Jeremy Deane Jackson, MD 1201 W La Veta Ave, Orange, CA 92868-4203 Ph: (714) 509-8649

Reviews and Comments

Orthopaedic Surgery Doctors in Orange, CA

Mr. Christian Edmond Awah, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1120 W La Veta Ave Ste 300, Orange, CA 92868 Phone: 714-598-1745 Fax: 714-941-9539
John Anthony Schlechter, D.O. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1310 W Stewart Dr, Suite 508, Orange, CA 92868 Phone: 714-633-2111 Fax: 714-633-5615
Dr. David John Wright, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 101 The City Dr S Bldg 29a, Orange, CA 92868 Phone: 714-456-7012
Lisa Ann Cao, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1310 W Stewart Dr Ste 508, Orange, CA 92868 Phone: 714-633-2111 Fax: 844-387-7625
Dr. Laura May Mourafetis, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7890
Justin Haghverdian, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 101 The City Dr S Bldg 29a, Orange, CA 92868 Phone: 714-456-7012
Pablo P Prietto, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 280 S Main St, Suite 200, Orange, CA 92868 Phone: 714-634-4567 Fax: 714-634-4569

Dr Taylor Jeremy Deane Jackson, MD - Medicare Orthopaedic Surgery in Orange, CA