LAEIA B JACKSON MD
NPI 1003348673
Radiology - Radiological Physics in Toledo, OH

Active since April 01, 2017PECOS EnrolledAccepts Medicare Assignment
5757 PARK CENTER CT., TOLEDO, OH 43615(419) 474-4064(419) 472-2772 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2023, Apr 1, 2017 (2 updates tracked since 2017).

About Laeia B Jackson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAEIA B JACKSON MD (NPI 1003348673) is an individual radiological physics provider in Toledo, Ohio, licensed in Michigan (4301507021) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1003348673
Entity TypeIndividualFemale
Primary Taxonomy2085R0205X
Provider Legal NameLAEIA B JACKSONCredential: MD
Location Address5757 PARK CENTER CT.Toledo, OH 43615
Mailing Address5757 Park Center Ct.Toledo, OH 43615 · (419) 474-4064 · Fax (419) 472-2772
Fax(419) 472-2772
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 2017
Enumeration DateApril 1, 2017
Last NPPES UpdateAugust 8, 20232 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
NPI 1003348673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Radiological PhysicsAllopathic & Osteopathic Physicians
Taxonomy Code2085R0205X
License Licensed in MI · 4301507021
Definition
A radiological physicist deals with the diagnostic and therapeutic applications of roentgen rays, gamma rays from sealed sources, ultrasonic radiation and radio-frequency radiation, as well as the equipment associated with their production and use, including radiation safety.
5757 PARK CENTER CT., Toledo, OH 43615

Secondary Practice Location 1

Location 1550 S Jackson St, ACB 3rd floorLouisville, KY 40202-1622 · Phone (502) 852-5666

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Laeia B Jackson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446638548
PECOS Enrollment IDI20220601002708, I20231120000927
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
682 services682 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
680 services680 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
312 services312 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
312 services312 patients
Mri scan of both breasts 77049
An MRI scan of both breasts is a non-invasive procedure using magnetic fields and radio waves to create detailed images of your chest area. This aids in detecting any abnormalities, ensuring your health and well-being.
122 services122 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
112 services108 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Promedica Charles And Virginia Hickman Hospital

Acute Care Hospitals · Adrian, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230005
Location5640 N Adrian HighwayAdrian, MI 49221 · Lenawee County
Emergency services Birthing friendly

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230099
Location718 N Macomb StMonroe, MI 48162 · Monroe County
Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Fremont, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360156
Location715 South Taft AvenueFremont, OH 43420 · Sandusky County
Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360259
Location2801 Bay Park DriveOregon, OH 43616 · Lucas County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
5757 PARK CENTER CT.
TOLEDO, OH 43615
Radiology (Diagnostic Radiology)
5757 PARK CENTER CT.
TOLEDO, OH 43615
Radiology (Diagnostic Radiology)
5757 PARK CENTER CT., SUITE 200
TOLEDO, OH 43615
Radiology (Diagnostic Radiology)
5757 PARK CENTER CT.
TOLEDO, OH 43615
Radiology (Diagnostic Radiology)
5757 PARK CENTER CT.
TOLEDO, OH 43615
Radiology (Vascular & Interventional Radiology)
5757 PARK CENTER CT.
TOLEDO, OH 43615
Radiology (Diagnostic Radiology)
5757 PARK CENTER CT.
TOLEDO, OH 43615
Radiology (Diagnostic Radiology)
5757 PARK CENTER CT.
TOLEDO, OH 43615

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laeia Jackson's NPI number?

The NPI number for Laeia Jackson is 1003348673. It was assigned to this individual provider in the NPPES registry on April 1, 2017.

Where is Laeia Jackson located?

Laeia Jackson practices at 5757 Park Center Ct., Toledo, OH 43615. The listed phone number is (419) 474-4064.

What is Laeia Jackson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiological Physics, with taxonomy code 2085R0205X.

Is Laeia Jackson enrolled in Medicare?

Yes. Laeia Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Laeia Jackson accept?

Health plans from Blue Care Network of Michigan list Laeia Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Laeia Jackson affiliated with any hospitals?

According to CMS data, Laeia Jackson is affiliated with Promedica Charles And Virginia Hickman Hospital, Promedica Monroe Regional Hospital, Promedica Toledo Hospital, Memorial Hospital and Bay Park Community Hospital.

When was this NPI record last updated?

The NPPES record for Laeia Jackson was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.