Teresa L Jackson, - Medicare Family Medicine in Monroe, WA

  1. Home
  2. Family Medicine
  3. WA
  4. Monroe
Teresa L Jackson, is a medicare enrolled "Family Medicine - Addiction Medicine" physician in Monroe, Washington. Her current practice location is 17880 147th St Se, Monroe, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 794-1405.

Teresa L Jackson is licensed to practice in Washington (license number MD60822145) 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 1700982444.

Contact Information

Teresa L Jackson,
17880 147th St Se,
Monroe, WA 98272-1014
(360) 794-1405
(360) 794-1493

Map and Direction




Physician's Profile

Full NameTeresa L Jackson
GenderFemale
SpecialityFamily Medicine - Addiction Medicine
Location17880 147th St Se, Monroe, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700982444
  • Provider Enumeration Date: 09/16/2006
  • Last Update Date: 01/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6002806478
  • Enrollment ID: I20180430001348

Medical Identifiers

Medical identifiers for Teresa L Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700982444NPI-NPPES
AZ0789290OtherAZBLUE CROSS BLUE SHIELD
2099880MedicaidWA
851685MedicaidAZ
2Z1286OtherAZHEALTHNET

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0401XFamily Medicine - Addiction Medicine MD60822145 (Washington)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. Teresa L Jackson allows following entities to bill medicare on her behalf.
Entity NameKing County Public Hospital District No 2
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801986070
PECOS PAC ID: 7618880097
Enrollment ID: O20031111000557
Entity NamePublic Hospital District 1 Of Snohomish County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013074061
PECOS PAC ID: 3274426259
Enrollment ID: O20040204000272

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. Teresa L 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
Teresa L Jackson,
17880 147th St Se,
Monroe, WA 98272-1014

Ph: (360) 794-1405		Teresa L Jackson,
17880 147th St Se,
Monroe, WA 98272-1014

Ph: (360) 794-1405

Reviews and Comments


Family Medicine Doctors in Monroe, WA

Dr. Rhonda Marie Bass, M. D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19200 N Kelsey St, Monroe, WA 98272
Phone: 360-794-7994    
Dr. Phillip H Hassrick, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19200 North Kelsey Street, Monroe, WA 98272
Phone: 425-805-4790    Fax: 425-805-4791
Dr. John D Patz, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14841 179th Ave Se, Suite 210, Monroe, WA 98272
Phone: 360-217-1155    Fax: 360-217-1154
Dr. Andrew Thurman, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14841 179th Ave Se Ste 210, Monroe, WA 98272
Phone: 360-217-1155    Fax: 360-217-1154
Dr. Thomas W Garges, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19200 N Kelsey St, Monroe, WA 98272
Phone: 360-794-7994    
Dr. Ingrid Lorena Acuna-eaton, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 19200 N Kelsey St, Monroe, WA 98272
Phone: 360-794-7994    Fax: 360-805-4755
Jeffrey Allen Wallhoff, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 19200 N Kelsey St, Monroe, WA 98272
Phone: 360-794-7994    

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.