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JEREMY R JACKSON M.D.
NPI 1154620862
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 21, 2011PECOS Enrolled
75 FRANCIS ST, BOSTON, MA 02115(617) 732-6861 Get Directions Write a Review

NPPES record last updated: March 24, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeremy R Jackson M.d. NPPES

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

JEREMY R JACKSON M.D. (NPI 1154620862) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154620862
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEREMY R JACKSONCredential: M.D.
Location Address75 FRANCIS STBoston, MA 02115-6110
Mailing Address75 Francis St, Ca 034Boston, MA 02115-6110
Phone(617) 732-6861
Sole ProprietorNo
Enumeration DateMarch 21, 2011
Last NPPES UpdateMarch 24, 2011
✔ NPI 1154620862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
75 FRANCIS ST, Boston, MA 02115
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy R Jackson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

RUMA RAJBHANDARI
Internal Medicine (Gastroenterology)
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 525-6841
WENYA LINDA BI
Neurological Surgery
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (203) 645-9485
CHI YUEN CHAN M.D.
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 732-5500
JENNIFER MICHELLE THOMAS MD
Radiology (Diagnostic Radiology)
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115
Suffolk County (617) 732-6248
GAURAV SHARMA M.D.
Surgery (Vascular Surgery)
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Suffolk County (951) 259-0890
DR. EUGENE RICHARDSON MD
Internal Medicine (Infectious Disease)
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 732-8881
YEU-SHIN CINDY CHANG M.D., M.P.H.
Emergency Medicine
75 FRANCIS ST, BWH DEPT. OF EMERGENCY MEDICINE
BOSTON, MA 02115
Suffolk County (617) 732-8070
CARA L RICHARDS
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 732-5500

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 Jeremy Jackson's NPI number?

The NPI number for Jeremy Jackson is 1154620862. It was assigned to this individual provider in the NPPES registry on March 21, 2011.

Where is Jeremy Jackson located?

Jeremy Jackson practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-6861.

What is Jeremy Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jeremy Jackson enrolled in Medicare?

Yes. Jeremy Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Jackson was last updated on March 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.