Don-andre Jackson, - Medicare Internal Medicine in Derby, CT

Don-andre Jackson, is a medicare enrolled "Internal Medicine - Rheumatology" physician in Derby, Connecticut. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Griffin Faculty Physicians Inc and his current practice location is 130 Division St, Derby, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 732-1330.

Don-andre Jackson is licensed to practice in Connecticut (license number 67231) 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 1508250952.

Contact Information

Don-andre Jackson,
130 Division St,
Derby, CT 06418-1326
(203) 732-1330
(203) 732-1332



Physician's Profile

Full NameDon-andre Jackson
GenderMale
SpecialityInternal Medicine
Experience9 Years
Location130 Division St, Derby, Connecticut
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:
  • Don-andre Jackson graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1508250952
  • Provider Enumeration Date: 03/24/2015
  • Last Update Date: 03/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5395080717
  • Enrollment ID: I20210324001182

Medical Identifiers

Medical identifiers for Don-andre Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508250952NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology 67231 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Griffin HospitalDerby, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Griffin Faculty Physicians Inc7618871997107

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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. Don-andre Jackson allows following entities to bill medicare on his behalf.
Entity NameGriffin Faculty Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598755605
PECOS PAC ID: 7618871997
Enrollment ID: O20031120000158

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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. Don-andre 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
Don-andre Jackson,
67 Maple Ave,
Derby, CT 06418-1328

Ph: (203) 732-1256
Don-andre Jackson,
130 Division St,
Derby, CT 06418-1326

Ph: (203) 732-1330

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Internal Medicine Doctors in Derby, CT

Genevieve Cecile Kela, MD
Rheumatology
Medicare: Medicare Enrolled
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-7327    
Dr. Gerald George Fette, M.D.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-1330    Fax: 203-732-1332
Dr. Howard Quentzel, M.D.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-7439    Fax: 203-732-1425
Mukesh Kumar, M.D.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-1330    Fax: 203-732-1332
Earl Lewin Baker, MD
Rheumatology
Medicare: Not Enrolled in Medicare
Practice Location: 130 Division Street, Derby, CT 06418
Phone: 203-735-7421    
Aartee Deshpande, MD
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-1330    
Mark S Grogan, MD
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division Street, Derby, CT 06418
Phone: 203-732-7455    Fax: 203-735-5507

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