Brian Jeffry Jackson, NP - Medicare Nurse Practitioner in Newport Beach, CA

  1. Home
  2. Nurse Practitioner
  3. CA
  4. Newport Beach
Brian Jeffry Jackson, NP is a medicare enrolled "Nurse Practitioner - Family" in Newport Beach, California. His current practice location is 2075 San Joaquin Hills Rd, Newport Beach, California. You can reach out to his office (for appointments etc.) via phone at (949) 760-9222.

Brian Jeffry Jackson is licensed to practice in California (license number NP95010531) 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 1174080030.

Contact Information

Brian Jeffry Jackson, NP
2075 San Joaquin Hills Rd,
Newport Beach, CA 92660-6505
(949) 760-9222
Not Available

Map and Direction




Provider's Profile

Full NameBrian Jeffry Jackson
GenderMale
SpecialityNurse Practitioner - Family
Location2075 San Joaquin Hills Rd, Newport Beach, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174080030
  • Provider Enumeration Date: 02/27/2019
  • Last Update Date: 10/03/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6608208459
  • Enrollment ID: I20230824000764

Medical Identifiers

Medical identifiers for Brian Jeffry Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174080030NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP95010531 (California)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. Brian Jeffry Jackson allows following entities to bill medicare on his behalf.
Entity NameHospitalist Medicine Physicians Of New Mexico - Clovis Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477031094
PECOS PAC ID: 0345618849
Enrollment ID: O20221114002666

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. Brian Jeffry 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
Brian Jeffry Jackson, NP
3801 Marquette Pl Apt 4c,
San Diego, CA 92106-1059

Ph: (541) 550-6572		Brian Jeffry Jackson, NP
2075 San Joaquin Hills Rd,
Newport Beach, CA 92660-6505

Ph: (949) 760-9222

Reviews and Comments


Nurse Practitioner Nurses in Newport Beach, CA

Mrs. Kena Gunter, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2071 San Joaquin Hills Rd, Newport Beach, CA 92660
Phone: 949-759-1720    
Ms. Kay R Collier, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 351 Hospital Rd Ste 401, Newport Beach, CA 92663
Phone: 949-642-6787    Fax: 949-642-4833
Michael Nash, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Hoag Dr, Newport Beach, CA 92663
Phone: 949-764-8376    
Olivia Taylor Defilippo,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4631 Teller Ave Ste 100, Newport Beach, CA 92660
Phone: 949-887-7187    
Miki Stacy Ohata,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3900 W Coast Hwy Ste 310, Newport Beach, CA 92663
Phone: 949-478-8858    
Mallory Marino, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 Hoag Dr, Newport Beach, CA 92663
Phone: 949-421-7019    
Linda Joyce Buck, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Avocado Ave, Newport Beach, CA 92660
Phone: 949-763-2204    Fax: 949-536-8036

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.