Mrs Jamie Crystal Jackson, MD - Medicare Pediatrics in Pensacola, FL

Mrs Jamie Crystal Jackson, MD is a medicare enrolled "Pediatrics" physician in Pensacola, Florida. Her current practice location is 1675 Trinity Dr, Pensacola, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 416-7710.

Mrs Jamie Crystal Jackson is licensed to practice in Florida (license number 121872) 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 1033389879.

Contact Information

Mrs Jamie Crystal Jackson, MD
1675 Trinity Dr,
Pensacola, FL 32504-5708
(850) 416-7710
(850) 416-6729



Physician's Profile

Full NameMrs Jamie Crystal Jackson
GenderFemale
SpecialityPediatrics
Location1675 Trinity Dr, Pensacola, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033389879
  • Provider Enumeration Date: 03/07/2008
  • Last Update Date: 04/25/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6507058294
  • Enrollment ID: I20180213001242

Medical Identifiers

Medical identifiers for Mrs Jamie Crystal Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033389879NPI-NPPES
023386100MedicaidFL
1457299MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD.203018 (Louisiana)Secondary
2080C0008XPediatrics - Child Abuse Pediatrics 121872 (Florida)Secondary
2080C0008XPediatrics - Child Abuse Pediatrics MD.203018 (Louisiana)Secondary
208000000XPediatrics 121872 (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. Mrs Jamie Crystal Jackson allows following entities to bill medicare on her behalf.
Entity NameSacred Heart Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144271586
PECOS PAC ID: 3779491386
Enrollment ID: O20031125000699

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Entity NameEscambia Community Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518971597
PECOS PAC ID: 9638165806
Enrollment ID: O20040422001135

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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. Mrs Jamie Crystal 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
Mrs Jamie Crystal Jackson, MD
Po Box 2699,
Pensacola, FL 32513-2699

Ph: (850) 475-4686
Mrs Jamie Crystal Jackson, MD
1675 Trinity Dr,
Pensacola, FL 32504-5708

Ph: (850) 416-7710

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Pediatrics Doctors in Pensacola, FL

Elyse S Schrandt, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8383 N Davis Hwy, Pensacola, FL 32514
Phone: 850-494-3212    
Lisbeth Vernali, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4785 N 9th Ave, Suite A, Pensacola, FL 32503
Phone: 850-478-7600    
Gulnur Com, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1675 Trinity Dr, Pensacola, FL 32504
Phone: 850-416-1110    Fax: 850-416-1192
John Frank Bullard Jr., M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2805 Bayou Blvd, Pensacola, FL 32503
Phone: 850-434-6881    Fax: 850-434-8999
Mr. Roger C Clubbs, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4951 Grande Dr, Pensacola, FL 32504
Phone: 850-473-0100    Fax: 850-473-0500
Robert K Wilson Jr., MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5192 Bayou Blvd, Pensacola, FL 32503
Phone: 850-484-5040    Fax: 850-475-5527
Dr. Maria Elena G Rodriguez, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 945 W Michigan Ave Ste 10c, Pensacola, FL 32505
Phone: 850-332-6788    Fax: 888-660-1953

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