Tyson A Jackson, MD in Albuquerque, NM - Medicare Emergency Medicine

Tyson A Jackson, MD is a medicare enrolled "Emergency Medicine" physician in Albuquerque, New Mexico. He graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Ihc Health Services Inc and his current practice location is 1100 Central Ave Se, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 841-1125.

Tyson A Jackson is licensed to practice in Utah (license number 13173246-1205) 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 1346701448.

Contact Information

	Tyson A Jackson, MD
	1100 Central Ave Se, Albuquerque, NM 87106-4930
	(505) 841-1125
	(505) 272-0475

Map and Direction

Physician's Profile

Full Name	Tyson A Jackson
Gender	Male
Speciality	Emergency Medicine
Experience	7 Years
Location	1100 Central Ave Se, Albuquerque, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tyson A Jackson graduated from medical school in 2019

NPI Data:

NPI Number: 1346701448
Provider Enumeration Date: 03/29/2019
Last Update Date: 05/20/2026

Medicare PECOS Information:

PECOS PAC ID: 9739569898
Enrollment ID: I20240429000828

Medical Identifiers

Medical identifiers for Tyson A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346701448	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	13173246-1205 (Utah)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(New Mexico)	Secondary
207P00000X	Emergency Medicine	MD2023-0400 (New Mexico)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Dixie Regional Medical Center	St george, UT	Hospital
Cedar City Hospital	Cedar city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ihc Health Services Inc	1850209420	3956

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. Tyson A Jackson allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

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. Tyson A 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
Tyson A Jackson, MD Po Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770	Tyson A Jackson, MD 1100 Central Ave Se, Albuquerque, NM 87106-4930 Ph: (505) 841-1125

Reviews and Comments

Emergency Medicine Doctors in Albuquerque, NM

Darren M Shafer, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: Pmg Emergency Medicine, 1101 Central Se, Albuquerque, NM 87106 Phone: 505-841-1125 Fax: 505-841-1737
Nicholas Weiss, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Central Ave Se, Emergency Medicine, Albuquerque, NM 87106 Phone: 505-841-1125 Fax: 505-841-1737
Matthew D Poage, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5400 Gibson Blvd Se, Albuquerque, NM 87108 Phone: 904-805-1300 Fax: 904-805-1302
Matthew Wilks, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Unm Department Of Emergency Medicine Msc11-6025, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-5062 Fax: 505-925-7290
Daniel M. Gee, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6400 Paseo Del Norte Blvd Ne, Albuquerque, NM 87113 Phone: 505-596-2100 Fax: 505-596-2180
Lauri B Magee, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Central Ave Se, Albuquerque, NM 87106 Phone: 505-841-1125
Dr. Tony B Salazar, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102 Phone: 505-727-1008

Tyson A Jackson, MD - Medicare Emergency Medicine in Albuquerque, NM