William Michael Jackson, MD in New York, NY

William Michael Jackson, MD is a medicare enrolled "Anesthesiology" physician in New York, New York. His current practice location is 630 W 168th St, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 305-2069.

William Michael Jackson is licensed to practice in New York (license number 274685) 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 1043577216.

Contact Information

	William Michael Jackson, MD
	630 W 168th St, New York, NY 10032-3725
	(212) 305-2069
	(212) 305-3204

Map and Direction

Physician's Profile

Full Name	William Michael Jackson
Gender	Male
Speciality	Anesthesiology
Location	630 W 168th St, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043577216
Provider Enumeration Date: 04/12/2012
Last Update Date: 10/30/2017

Medicare PECOS Information:

PECOS PAC ID: 8921366345
Enrollment ID: I20171212002914

Medical Identifiers

Medical identifiers for William Michael Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043577216	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	274685 (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. William Michael Jackson allows following entities to bill medicare on his behalf.

Entity Name	Montefiore Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235

Entity Name	Trustees Of Columbia University In The City Of New York
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841239829 PECOS PAC ID: 9537067715 Enrollment ID: O20040114000461

Entity Name	Trustees Of Columbia University In The City Of New York
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508266347 PECOS PAC ID: 8527972546 Enrollment ID: O20151201002613

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. William Michael 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
William Michael Jackson, MD 622 W 168th St Ph 5-505, New York, NY 10032-3720 Ph: (646) 703-4190	William Michael Jackson, MD 630 W 168th St, New York, NY 10032-3725 Ph: (212) 305-2069

Reviews and Comments

Anesthesiology Doctors in New York, NY

Dr. Jason H Epstein, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 423 E 23rd St, New York, NY 10010 Phone: 212-686-7500
Dr. Aisha Baqai, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 525 E 68th St # M-312, New York, NY 10065 Phone: 212-746-2941 Fax: 212-746-8713
Dr. Donna Bracken, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 506 Malcolm X Blvd, New York, NY 10037 Phone: 212-939-1000
Michael Newman Singleton, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 535 E 70th St, New York, NY 10021 Phone: 212-606-1036
Dr. Abimbola Adegbola, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 550 1st Ave, New York, NY 10016 Phone: 609-680-6333
Dr. Thor Lidasan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 462 1st Ave # A-560, New York, NY 10016 Phone: 212-562-2300 Fax: 212-562-3486
Kenneth H Jacobson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-5072

William Michael Jackson, MD - Medicare Anesthesiology in New York, NY