Dr David Wayne Jackson, DO - Medicare Obstetrics & Gynecology in Sylvania, OH

Dr David Wayne Jackson, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Sylvania, Ohio. His current practice location is 5300 Harroun Rd, Suite 201, Sylvania, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 843-4836.

Dr David Wayne Jackson is licensed to practice in Ohio (license number 34-005219) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831103027.

Contact Information

Dr David Wayne Jackson, DO
5300 Harroun Rd, Suite 201,
Sylvania, OH 43560-2182
(419) 843-4836
(419) 841-8458



Physician's Profile

Full NameDr David Wayne Jackson
GenderMale
SpecialityObstetrics & Gynecology
Location5300 Harroun Rd, Sylvania, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831103027
  • Provider Enumeration Date: 07/27/2006
  • Last Update Date: 09/10/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5799742839
  • Enrollment ID: I20041210000252

Medical Identifiers

Medical identifiers for Dr David Wayne Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831103027NPI-NPPES
0837063MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 34-005219 (Ohio)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 David Wayne Jackson allows following entities to bill medicare on his behalf.
Entity NameThe Toledo Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407854771
PECOS PAC ID: 2961309638
Enrollment ID: O20031218001042

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Entity NameWellcare Physicians Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558567636
PECOS PAC ID: 1456442771
Enrollment ID: O20070801000094

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Entity NameMercy Health Physicians-north Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609000769
PECOS PAC ID: 2668522400
Enrollment ID: O20090616000750

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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. Dr David Wayne 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 David Wayne Jackson, DO
5300 Harroun Rd, Suite 201,
Sylvania, OH 43560-2182

Ph: (419) 843-4836
Dr David Wayne Jackson, DO
5300 Harroun Rd, Suite 201,
Sylvania, OH 43560-2182

Ph: (419) 843-4836

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Obstetrics & Gynecology Doctors in Sylvania, OH

Jessica Abbate Burns, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5308 Harroun Rd Ste 160, Sylvania, OH 43560
Phone: 419-824-5668    Fax: 419-885-6919
Alma Lydia Garlo, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 5300 Harroun Rd, Suite 119, Sylvania, OH 43560
Phone: 419-885-1161    Fax: 419-824-5199
Robert T. Derosa, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5700 Monroe St, Suite 202, Sylvania, OH 43560
Phone: 419-473-6622    Fax: 419-473-6627
Dr. Burton S Brodsky, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5308 Harroun Rd Ste 175, Sylvania, OH 43560
Phone: 419-824-5608    Fax: 419-882-3686
Robert Drenchko, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5700 Monroe Street, Graduate Medical Education, Sylvania, OH 43560
Phone: 419-473-6622    Fax: 419-473-6627
Terry M Gibbs, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5308 Harroun Rd, Ste 175, Sylvania, OH 43560
Phone: 419-824-5608    Fax: 419-882-3686
Heather Nicole Wahl, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5308 Harroun Rd Ste 165, Sylvania, OH 43560
Phone: 419-824-5608    Fax: 419-882-3686

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