Nicole Kimberly Jackson, DO - Medicare Thoracic Surgery in Olympia, WA

Nicole Kimberly Jackson, DO is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Olympia, Washington. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Thoracic Surgery. She is a member of the group practice Peacehealth and her current practice location is 525 Lilly Rd Ne Ste 200, Olympia, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 493-4510.

Nicole Kimberly Jackson is licensed to practice in Washington (license number OP60418108) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508188343.

Contact Information

Nicole Kimberly Jackson, DO
525 Lilly Rd Ne Ste 200,
Olympia, WA 98506
(360) 493-4510
(360) 493-7759



Physician's Profile

Full NameNicole Kimberly Jackson
GenderFemale
SpecialityThoracic Surgery
Experience15 Years
Location525 Lilly Rd Ne Ste 200, Olympia, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Kimberly Jackson graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1508188343
  • Provider Enumeration Date: 02/21/2010
  • Last Update Date: 06/12/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3173811890
  • Enrollment ID: I20161013000485

Medical Identifiers

Medical identifiers for Nicole Kimberly Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508188343NPI-NPPES
OL60099734MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) OP60418108 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph HospitalBellingham, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Peacehealth9537073960259

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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. Nicole Kimberly Jackson allows following entities to bill medicare on her behalf.
Entity NamePeacehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356309553
PECOS PAC ID: 9537073960
Enrollment ID: O20031118001062

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Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174744304
PECOS PAC ID: 6709782600
Enrollment ID: O20031211000028

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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. Nicole Kimberly 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
Nicole Kimberly Jackson, DO
Po Box 3360,
Portland, OR 97208-3360

Ph: () -
Nicole Kimberly Jackson, DO
525 Lilly Rd Ne Ste 200,
Olympia, WA 98506

Ph: (360) 493-4510

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Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Olympia, WA

Jennifer M Abelson, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 525 Lilly Rd Ne Ste 200, Olympia, WA 98506
Phone: 360-493-4510    Fax: 360-493-7759
Ronald R Quinton, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 525 Lilly Rd Ne Ste 200, Pmg Sw Wa Olympia Cardiac Surgery, Olympia, WA 98506
Phone: 360-493-4510    

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