Jackson Medical Group Inc - Medicare Primary Care in Santa Barbara, CA

Jackson Medical Group Inc is a medicare enrolled primary clinic (Family Medicine) in Santa Barbara, California. The current practice location for Jackson Medical Group Inc is 517 W Junipero St, Santa Barbara, California. For appointments, you can reach them via phone at (805) 682-8844. The mailing address for Jackson Medical Group Inc is 517 W Junipero St, Santa Barbara, California and phone number is (805) 682-8844.

Jackson Medical Group Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1891711289. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (805) 682-8844.

Contact Information

Jackson Medical Group Inc
517 W Junipero St
Santa Barbara
CA 93105-4239
(805) 682-8844
(805) 682-4735

Primary Care Clinic Profile

Full NameJackson Medical Group Inc
SpecialityFamily Medicine
Location517 W Junipero St, Santa Barbara, California
Authorized Official Name and PositionKaren M Engberg (PRESIDENT)
Authorized Official Contact8056828844
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jackson Medical Group Inc
517 W Junipero St
Santa Barbara
CA 93105-4239

Ph: (805) 682-8844
Jackson Medical Group Inc
517 W Junipero St
Santa Barbara
CA 93105-4239

Ph: (805) 682-8844

NPI Details:

NPI Number1891711289
Provider Enumeration Date07/15/2006
Last Update Date01/17/2014

Medicare PECOS Information:

Medicare PECOS PAC ID6103970983
Medicare Enrollment IDO20090812000935

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Medical Identifiers

Medical identifiers for Jackson Medical Group Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891711289NPI-NPPES
1891711289OtherCANPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jackson Medical Group Inc acts as a billing entity for following providers:
Provider NameDouglas E Cummings
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407876774
PECOS PAC ID: 6608802574
Enrollment ID: I20050712000714

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Provider NameShaun S Ehsani
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306040712
PECOS PAC ID: 4688746597
Enrollment ID: I20080710000122

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Provider NameBlanca E Fernandez-kline
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679653927
PECOS PAC ID: 6406846161
Enrollment ID: I20090526000091

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Provider NameNancy E Warner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528088820
PECOS PAC ID: 2062552987
Enrollment ID: I20091226000037

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Provider NameDouglas R Jackson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063432342
PECOS PAC ID: 7517011281
Enrollment ID: I20111216000237

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Provider NameDanica Kari Lomeli
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699119511
PECOS PAC ID: 2163720467
Enrollment ID: I20160420001246

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Provider NameAmir-mohammad Jalilian-nosraty
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407091010
PECOS PAC ID: 5496994824
Enrollment ID: I20170830001377

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Family Medicine in Santa Barbara, CA

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