Kevin Jackson, CAA - Medicare Anesthesiology Assistant in Mayfield Heights, OH

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Kevin Jackson, CAA is a medicare enrolled "Anesthesiologist Assistant" in Mayfield Heights, Ohio. He graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Wellstar Medical Group Llc and his current practice location is 6780 Mayfield Rd, Mayfield Heights, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 312-4500.

Kevin Jackson is licensed to practice in Ohio (license number 67.000265) 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 1477925287.

Contact Information

Kevin Jackson, CAA
6780 Mayfield Rd,
Mayfield Heights, OH 44124-2203
(440) 312-4500
Not Available

Map and Direction




Provider's Profile

Full NameKevin Jackson
GenderMale
SpecialityAnesthesiology Assistant
Experience10 Years
Location6780 Mayfield Rd, Mayfield Heights, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kevin Jackson graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1477925287
  • Provider Enumeration Date: 10/21/2015
  • Last Update Date: 10/21/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1557671997
  • Enrollment ID: I20220421000470

Medical Identifiers

Medical identifiers for Kevin Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477925287NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 67.000265 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar Kennestone HospitalMarietta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellstar Medical Group Llc67090654022734

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. Kevin Jackson allows following entities to bill medicare on his behalf.
Entity NameAmsol Anesthetists Of Georgia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649224775
PECOS PAC ID: 5193780955
Enrollment ID: O20041122000580
Entity NameGrady Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114243813
PECOS PAC ID: 7517032998
Enrollment ID: O20100723000311
Entity NameWellstar Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374
Entity NameSentry Anesthesia Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134544794
PECOS PAC ID: 9436372323
Enrollment ID: O20140521002571

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. Kevin 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
Kevin Jackson, CAA
911 Northboro Dr,
Mayfield Village, OH 44143-3429

Ph: () -		Kevin Jackson, CAA
6780 Mayfield Rd,
Mayfield Heights, OH 44124-2203

Ph: (440) 312-4500

Reviews and Comments


Anesthesiologist Assistant Nurses in Mayfield Heights, OH

Mrs. Laura F Burch, AA-C
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 6780 Mayfield Rd, Mayfield Heights, OH 44124
Phone: 440-312-4500    
Matthew Conklin, CAA
Anesthesiologist Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 6780 Mayfield Rd, Mayfield Heights, OH 44124
Phone: 440-312-4500    
Uyen Minh Bui, AA-C
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 6780 Mayfield Rd, Mayfield Heights, OH 44124
Phone: 440-312-5181    

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.