Theresa Jackson, MD - Medicare General Surgery in Tulsa, OK

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Theresa Jackson, MD is a medicare enrolled "Emergency Medicine" physician in Tulsa, Oklahoma. She went to University Of Oklahoma College Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Kaiser Foundation Health Plan Of The Mid-atlantic States,inc, Kaiser Foundation Health Plan Of The Mid-atlantic States,inc and her current practice location is 4629 E 13th Pl, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 822-8297.

Theresa Jackson is licensed to practice in Oklahoma (license number 32423) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164818993.

Contact Information

Theresa Jackson, MD
4629 E 13th Pl,
Tulsa, OK 74112-6103
(405) 822-8297
Not Available

Map and Direction




Physician's Profile

Full NameTheresa Jackson
GenderFemale
SpecialityGeneral Surgery
Experience9 Years
Location4629 E 13th Pl, Tulsa, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theresa Jackson attended and graduated from University Of Oklahoma College Of Medicine in 2015
  NPI Data:
  • NPI Number: 1164818993
  • Provider Enumeration Date: 04/08/2015
  • Last Update Date: 02/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4183902562
  • Enrollment ID: I20220822001347

Medical Identifiers

Medical identifiers for Theresa Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164818993NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 32423 (Oklahoma)Primary
208600000XSurgery BP10052439 (Texas)Secondary
390200000XStudent In An Organized Health Care Education/training Program 1164818993 (Oklahoma)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of The Mid-atlantic States,inc37794958581673
Kaiser Foundation Health Plan Of The Mid-atlantic States,inc37794958581673

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. Theresa Jackson allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1578638425
PECOS PAC ID: 3779495858
Enrollment ID: O20040805001280
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1073678637
PECOS PAC ID: 3779495858
Enrollment ID: O20100729000796
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1366781700
PECOS PAC ID: 3779495858
Enrollment ID: O20130507000207
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1497023188
PECOS PAC ID: 3779495858
Enrollment ID: O20131029000108

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. Theresa 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
Theresa Jackson, MD
4629 E 13th Pl,
Tulsa, OK 74112-6103

Ph: (405) 822-8297		Theresa Jackson, MD
4629 E 13th Pl,
Tulsa, OK 74112-6103

Ph: (405) 822-8297

Reviews and Comments


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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.

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