Dr Marika Lauren Collymore Jackson, DPM in Jacksonville Beach, FL

Dr Marika Lauren Collymore Jackson, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Jacksonville Beach, Florida. Her current practice location is 630 Jacksonville Dr, Jacksonville Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 323-0954.

Dr Marika Lauren Collymore Jackson is licensed to practice in Florida (license number PO4497) 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 1821672817.

Contact Information

	Dr Marika Lauren Collymore Jackson, DPM
	630 Jacksonville Dr, Jacksonville Beach, FL 32250-3814
	(904) 323-0954
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Marika Lauren Collymore Jackson
Gender	Female
Speciality	Podiatrist - Foot & Ankle Surgery
Location	630 Jacksonville Dr, Jacksonville Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821672817
Provider Enumeration Date: 05/06/2021
Last Update Date: 08/23/2025

Medicare PECOS Information:

PECOS PAC ID: 6800332842
Enrollment ID: I20240725002974

Medical Identifiers

Medical identifiers for Dr Marika Lauren Collymore Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821672817	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	PO4497 (Florida)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	PO4497 (Florida)	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. Dr Marika Lauren Collymore Jackson allows following entities to bill medicare on her behalf.

Provider Name	Total Foot Care And Wellness Clinic, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578938684 PECOS PAC ID: 3870892805 Enrollment ID: O20160426001632

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 Marika Lauren Collymore 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 Address	Practice Location Address
Dr Marika Lauren Collymore Jackson, DPM 630 Jacksonville Dr, Jacksonville Beach, FL 32250-3814 Ph: (904) 323-0954	Dr Marika Lauren Collymore Jackson, DPM 630 Jacksonville Dr, Jacksonville Beach, FL 32250-3814 Ph: (904) 323-0954

Reviews and Comments

Podiatrist in Jacksonville Beach, FL

William J Namen Ii, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1351 13th Avenue South, Suite 110, Jacksonville Beach, FL 32250 Phone: 904-636-9197 Fax: 904-636-9282
Dr. Linda Louise Alexander, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1361 13th Ave S Ste 120, Jacksonville Beach, FL 32250 Phone: 904-241-2655 Fax: 904-249-2425
Dr. Efstratios Demetrios Lagoutaris, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1361 13th Ave S, Ste 12, Jacksonville Beach, FL 32250 Phone: 904-241-2655 Fax: 904-249-2425
Wesley Alexander Jackson, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1361 13th Ave S Ste 120, Jacksonville Beach, FL 32250 Phone: 904-241-2655 Fax: 904-249-2425
Adler Podiatry Clinic Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3316 3rd St S, Suite 201, Jacksonville Beach, FL 32250 Phone: 904-731-1711 Fax: 904-731-9270
Eric W Shultz, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1205 Beach Blvd, Jacksonville Beach, FL 32250 Phone: 904-389-0346 Fax: 904-246-5449
Adler Podiatry Clinic Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 320 1st St N, Suite 709, Jacksonville Beach, FL 32250 Phone: 904-731-1711 Fax: 904-731-9270

Dr Marika Lauren Collymore Jackson, DPM - Medicare Podiatrist in Jacksonville Beach, FL