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

NPI Status: Active since April 01, 2017

Contact Information

5757 PARK CENTER CT.
TOLEDO, OH
ZIP 43615
Phone: (419) 474-4064
Fax: (419) 472-2772

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  • Individual
  • Female
  • Years of Experience 9
  • Radiology
  • Radiological Physics
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About LAEIA JACKSON

This page provides the complete NPI Profile along with additional information for Laeia Jackson, a provider established in Toledo, Ohio with a medical specialization in Radiology, focusing in radiological physics and more than 9 years of experience. She graduated from Meharry Medical College School Of Medicine in 2017. The healthcare provider is registered in the NPI registry with number 1003348673 assigned on April 2017. The practitioner's primary taxonomy code is 2085R0205X with license number 4301507021 (MI). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1003348673
Provider Name
LAEIA B JACKSON MD
Gender
Female
Entity Type
Individual
Location Address
5757 PARK CENTER CT. TOLEDO, OH 43615
Location Phone
(419) 474-4064
Location Fax
(419) 472-2772
Mailing Address
5757 PARK CENTER CT. TOLEDO, OH 43615
Mailing Phone
(419) 474-4064
Mailing Fax
(419) 472-2772
Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduation Year
2017
Is Sole Proprietor?
Yes
Enumeration Date
04-01-2017
Last Update Date
08-08-2023
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Location Map

Secondary Locations

  • 550 S Jackson St ACB 3rd floor
    Louisville, KY 40202
    (502) 852-5666

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Radiological Physics

Taxonomy Code
2085R0205X
Type
Allopathic & Osteopathic Physicians
License No.
4301507021
License State
MI
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Laeia Jackson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Laeia Jackson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 446638548

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220601002708, I20231120000927

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Laeia Jackson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL5640 N ADRIAN HIGHWAY
ADRIAN, MI 49221
(517) 265-0900Acute Care Hospitals
PROMEDICA MONROE REGIONAL HOSPITAL718 N MACOMB ST
MONROE, MI 48162
(734) 240-8400Acute Care Hospitals
PROMEDICA TOLEDO HOSPITAL2142 NORTH COVE BOULEVARD
TOLEDO, OH 43606
(419) 291-7482Acute Care Hospitals
MEMORIAL HOSPITAL715 SOUTH TAFT AVENUE
FREMONT, OH 43420
(419) 332-7321Acute Care Hospitals
BAY PARK COMMUNITY HOSPITAL2801 BAY PARK DRIVE
OREGON, OH 43616
(419) 690-7706Acute Care Hospitals

Reviews for LAEIA B JACKSON MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003348673, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 6 + 4 + 1 + 6 + 6 + 1 + 4 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1003348673.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003348673, enumerated as an "individual" on April 01, 2017.

The provider is located at 5757 PARK CENTER CT. TOLEDO, OH 43615 and the phone number is (419) 474-4064.

Radiology with taxonomy code 2085R0205X and a focus in Radiological Physics.

The provider might be accepting Accepts: Blue Care Network of Michigan. Please consult your insurance carrier or call the provider to verify.

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.