Richard E Jackson, PA-C - Medicare Physician Assistant in Port Charlotte, FL

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Richard E Jackson, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Port Charlotte, Florida. He graduated from nursing school in 1992 and has 34 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Smh Physician Services Inc and his current practice location is 21260 Olean Blvd Ste 200, Port Charlotte, Florida. You can reach out to his office (for appointments etc.) via phone at (941) 625-4270.

Richard E Jackson is licensed to practice in Florida (license number PA2962) 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 1174587505.

Contact Information

Richard E Jackson, PA-C
21260 Olean Blvd Ste 200,
Port Charlotte, FL 33952-6742
(941) 625-4270
(941) 625-1751

Map and Direction




Provider's Profile

Full NameRichard E Jackson
GenderMale
SpecialityPhysician Assistant
Experience34 Years
Location21260 Olean Blvd Ste 200, Port Charlotte, Florida
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:
  • Richard E Jackson graduated from nursing school in 1992
  NPI Data:
  • NPI Number: 1174587505
  • Provider Enumeration Date: 04/13/2006
  • Last Update Date: 09/09/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3577573211
  • Enrollment ID: I20060426000303

Medical Identifiers

Medical identifiers for Richard E Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174587505NPI-NPPES
290761500MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical PA2962 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sarasota Memorial HospitalSarasota, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Smh Physician Services Inc1355240177781

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. Richard E Jackson allows following entities to bill medicare on his behalf.
Entity NameSmh Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346295292
PECOS PAC ID: 1355240177
Enrollment ID: O20031231000211

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. Richard E 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
Richard E Jackson, PA-C
21260 Olean Blvd Ste 200,
Port Charlotte, FL 33952-6742

Ph: (941) 625-4270		Richard E Jackson, PA-C
21260 Olean Blvd Ste 200,
Port Charlotte, FL 33952-6742

Ph: (941) 625-4270

Reviews and Comments


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Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33952
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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.

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.