Keith A Jackson, MD - Medicare Otolaryngology in San Diego, CA

Keith A Jackson, MD is a medicare enrolled "Otolaryngology" physician in San Diego, California. He went to University Of Michigan Medical School and graduated in 1985 and has 39 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Ritvik Mehta Md, Pc and his current practice location is 5405 Oberlin Dr Fl 2, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 909-0770.

Keith A Jackson is licensed to practice in Nevada (license number 8547) 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 1124091970.

Contact Information

Keith A Jackson, MD
5405 Oberlin Dr Fl 2,
San Diego, CA 92121-1700
(858) 909-0770
(858) 909-0880



Physician's Profile

Full NameKeith A Jackson
GenderMale
SpecialityOtolaryngology
Experience39 Years
Location5405 Oberlin Dr Fl 2, San Diego, California
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:
  • Keith A Jackson attended and graduated from University Of Michigan Medical School in 1985
  NPI Data:
  • NPI Number: 1124091970
  • Provider Enumeration Date: 02/10/2006
  • Last Update Date: 01/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4486739059
  • Enrollment ID: I20080306000193

Medical Identifiers

Medical identifiers for Keith A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124091970NPI-NPPES
002018083MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology G58187 (California)Secondary
207YX0901XOtolaryngology - Otology & Neurotology 8547 (Nevada)Secondary
207Y00000XOtolaryngology 8547 (Nevada)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sharp Memorial HospitalSan diego, CAHospital

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. Keith A Jackson allows following entities to bill medicare on his behalf.
Entity NameEmergency And Acute Care Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437103942
PECOS PAC ID: 9537108279
Enrollment ID: O20050502000734

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Entity NameKeith A Jackson Md Limited
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487823324
PECOS PAC ID: 1759466329
Enrollment ID: O20080306000202

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Entity NameRitvik Mehta Md, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538302997
PECOS PAC ID: 8022163286
Enrollment ID: O20090911000428

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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. Keith A 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
Keith A Jackson, MD
Po Box 500877,
San Diego, CA 92150-0877

Ph: (858) 279-4221
Keith A Jackson, MD
5405 Oberlin Dr Fl 2,
San Diego, CA 92121-1700

Ph: (858) 909-0770

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Otolaryngology Doctors in San Diego, CA

Dr. Jesse Raia Qualliotine, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 200 W Arbor Dr, San Diego, CA 92103
Phone: 800-926-8273    Fax: 888-539-8781
Sapideh Gilani, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 200 W Arbor Dr # Mc8895, Division Of Otolaryngology Ucsd, San Diego, CA 92103
Phone: 619-543-7895    
Dr. Sassan Alavi, M.D.
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 3023 Bunker Hill St, Suite 204, San Diego, CA 92109
Phone: 858-483-0690    
Dr. Kevin Thomas Brumund, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 200 W Arbor Dr Dept 8895, San Diego, CA 92103
Phone: 619-543-5910    Fax: 619-543-5521
Pierre G. Rivet, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 4033 3rd Ave, Suite 104, San Diego, CA 92103
Phone: 619-294-2350    Fax: 619-296-5719
Ronald T. Benz, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 10243 Genetic Center Dr, San Diego, CA 92121
Phone: 858-526-6136    Fax: 858-526-6117
Dr. Jeffrey Watson, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 3350 La Jolla Village Dr, M/c 9112-c, San Diego, CA 92161
Phone: 858-642-3637    

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