Tiffani Jackson, OD - Medicare Optometrist in Crownpoint, NM

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Tiffani Jackson, OD is a medicare enrolled "Optometrist" provider in Crownpoint, New Mexico. Her current practice location is Highway Junction 57, Route 9, Crownpoint, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 786-2593.

Tiffani Jackson is licensed to practice in Colorado (license number 0003415) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780161984.

Contact Information

Tiffani Jackson, OD
Highway Junction 57, Route 9,
Crownpoint, NM 87313
(505) 786-2593
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTiffani Jackson
GenderFemale
SpecialityOptometrist
LocationHighway Junction 57, Route 9, Crownpoint, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780161984
  • Provider Enumeration Date: 07/20/2018
  • Last Update Date: 07/20/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1153670039
  • Enrollment ID: I20180827001640

Medical Identifiers

Medical identifiers for Tiffani Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780161984NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 0003415 (Colorado)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. Tiffani Jackson allows following entities to bill medicare on her behalf.
Provider NameDhhs Phs Naihs Crownpoint Hospital
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1114960093
PECOS PAC ID: 0143128041
Enrollment ID: O20031230000393
Provider NameAdvanced Vision Care
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1568608891
PECOS PAC ID: 6608932124
Enrollment ID: O20090309000497
Provider NameAeg Texas Professional Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1457905937
PECOS PAC ID: 4486985678
Enrollment ID: O20191021001152
Provider NameTotal Care Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1487285656
PECOS PAC ID: 6901235191
Enrollment ID: O20200409002436

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. Tiffani 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
Tiffani Jackson, OD
Highway Junction 57, Route 9,
Crownpoint, NM 87313

Ph: () -		Tiffani Jackson, OD
Highway Junction 57, Route 9,
Crownpoint, NM 87313

Ph: (505) 786-2593

Reviews and Comments


Optometrist in Crownpoint, NM

Dr. Roger William Studd, OD, MPH
Optometrist
Medicare: Medicare Enrolled
Practice Location: Highway Junction 57, Route 9, Crownpoint, NM 87313
Phone: 505-786-5291    
Dr. Nazret Gaim Weldeghiorgis, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: Highway Junction 57, Route 9, Crownpoint, NM 87313
Phone: 505-786-5291    
Karen Mai Linh Tong, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: Highway Junction 57, Route 9, Crownpoint, NM 87313
Phone: 505-786-6249    Fax: 505-786-6440
Dr. Michael Davis, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: Hwy 371 Junction Hwy 57 Rt 9, Crownpoint, NM 87313
Phone: 505-786-5291    

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.