Robert E Jackson, MD - Medicare Urology in Boise, ID

Robert E Jackson, MD is a medicare enrolled "Urology" physician in Boise, Idaho. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Urology. He is a member of the group practice St Lukes Clinic-treasure Valley Llc and his current practice location is 520 S Eagle Rd, Suite 3112, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 381-2222.

Robert E Jackson is licensed to practice in Michigan (license number 4301087650) 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 1184740045.

Contact Information

Robert E Jackson, MD
520 S Eagle Rd, Suite 3112,
Boise, ID 83712-6241
(208) 381-2222
Not Available



Physician's Profile

Full NameRobert E Jackson
GenderMale
SpecialityUrology
Experience18 Years
Location520 S Eagle Rd, Boise, Idaho
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:
  • Robert E Jackson attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2006
  NPI Data:
  • NPI Number: 1184740045
  • Provider Enumeration Date: 03/22/2007
  • Last Update Date: 12/13/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9830347533
  • Enrollment ID: I20130305000587

Medical Identifiers

Medical identifiers for Robert E Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184740045NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 4301087650 (Michigan)Primary
390200000XStudent In An Organized Health Care Education/training Program 4301087650 (Michigan)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital
St Luke's Wood River Medical CenterKetchum, IDHospital
St Luke's Nampa Medical CenterNampa, IDHospital
St Luke's Elmore Medical CenterMountain home, IDHospital
St Lukes Magic Valley Medical CenterTwin falls, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc4981878402968

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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. Robert E Jackson allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

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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. Robert E 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
Robert E Jackson, MD
190 E Bannock St,
Boise, ID 83712-6241

Ph: (208) 381-2222
Robert E Jackson, MD
520 S Eagle Rd, Suite 3112,
Boise, ID 83712-6241

Ph: (208) 381-2222

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Urology Doctors in Boise, ID

Sean Patrick Stroup, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 510 N 2nd St Ste 103, Boise, ID 83702
Phone: 208-381-4700    
Dr. Kara C Taggart, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 510 N 2nd St, Suite 103, Boise, ID 83702
Phone: 208-381-4700    Fax: 208-381-4977
Michele B Ebbers, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 305 E Jefferson St, Boise, ID 83712
Phone: 208-381-6196    Fax: 208-381-6199
Dr. Donald E Walker, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 701 E Parkcenter Blvd, Boise, ID 83706
Phone: 208-344-5757    Fax: 208-381-6526
David B Crane, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 305 E Jefferson St, Ste 102, Boise, ID 83712
Phone: 208-343-2820    
Dr. Edwin Manley Briggs, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1316 Harrison Blvd, Boise, ID 83702
Phone: 208-345-5523    Fax: 208-389-4606

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