Dr Derrick O'neal Jackson, DPM - Medicare Podiatrist in Youngstown, OH

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Dr Derrick O'neal Jackson, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Youngstown, Ohio. He went to New York College Of Podiatric Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Gentle Footcare Llc and his current practice location is 420 Oak Hill Avenue, Youngstown, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 870-3900.

Dr Derrick O'neal Jackson is licensed to practice in Ohio (license number 36003456) 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 1518080811.

Contact Information

Dr Derrick O'neal Jackson, DPM
420 Oak Hill Avenue,
Youngstown, OH 44502-1415
(330) 870-3900
(330) 870-3901

Map and Direction




Healthcare Provider's Profile

Full NameDr Derrick O'neal Jackson
GenderMale
SpecialityPodiatry
Experience20 Years
Location420 Oak Hill Avenue, Youngstown, 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:
  • Dr Derrick O'neal Jackson attended and graduated from New York College Of Podiatric Medicine in 2004
  NPI Data:
  • NPI Number: 1518080811
  • Provider Enumeration Date: 04/09/2007
  • Last Update Date: 04/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8628169935
  • Enrollment ID: I20070801000039

Medical Identifiers

Medical identifiers for Dr Derrick O'neal Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518080811NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 30003456 (Ohio)Secondary
213ER0200XPodiatrist - Radiology 36003456 (Ohio)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery 36003456 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gentle Footcare Llc034515295516

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. Dr Derrick O'neal Jackson allows following entities to bill medicare on his behalf.
Provider NameGentle Footcare Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1710999792
PECOS PAC ID: 0345152955
Enrollment ID: O20031217000149
Provider NameLake County Foot & Ankle Associates Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1770605347
PECOS PAC ID: 8527031277
Enrollment ID: O20040819000627
Provider NameJackson Podiatry, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1306041744
PECOS PAC ID: 8729179031
Enrollment ID: O20070801000020

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. Dr Derrick O'neal 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
Dr Derrick O'neal Jackson, DPM
3255 E Livingston Avenue,
Columbus, OH 43227-1967

Ph: (866) 953-3519		Dr Derrick O'neal Jackson, DPM
420 Oak Hill Avenue,
Youngstown, OH 44502-1415

Ph: (330) 870-3900

Reviews and Comments


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Angelo F. Petrolla Dpm
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Ohio Podiatric Physicians And Surgeons Group, Llc
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Phone: 330-758-8808    Fax: 330-758-4288

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.