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DR. EDGAR BASIL JACKSON MD
NPI 1598833410
Psychiatry & Neurology - Psychiatry in Milwaukee, WI

Active since November 30, 2006PECOS Enrolled
1225 W MITCHELL ST, 223, MILWAUKEE, WI 53204(414) 383-4455(414) 727-8730 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 3, 2024, Nov 22, 2023, Oct 21, 2019 (3 updates tracked since 2019).

About Dr. Edgar Basil Jackson Md NPPES

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

DR. EDGAR BASIL JACKSON MD (NPI 1598833410) is an individual psychiatry provider in Milwaukee, Wisconsin, licensed in Wisconsin (13939-20) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1598833410
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. EDGAR BASIL JACKSONCredential: MD
Location Address1225 W MITCHELL ST, 223Milwaukee, WI 53204-3383
Mailing Address1225 W Mitchell St, 223Milwaukee, WI 53204-3383 · (414) 383-4455 · Fax (414) 727-8730
Phone(414) 383-4455
Fax(414) 727-8730
Sole ProprietorNo
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 3, 20243 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1598833410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WI · 13939-20
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License AJ8930984 XJ8930984 (WI)
1225 W MITCHELL ST, Milwaukee, WI 53204
Open in Google Maps ↗

Secondary Practice Locations 3

Location 18440 W National AveMilwaukee, WI 53227-1734 · Phone (414) 405-1682
Location 22555 N Dr Martin Luther King Jr DrMilwaukee, WI 53212-2709 · Phone (414) 372-8080 · Fax (414) 267-8570
Location 38200 W Silver Spring DrMilwaukee, WI 53218-2552 · Phone (414) 760-3900 · Fax (414) 464-6321

Other Identifiers 2

Other1598833410WI · Npi
Medicaid30954700WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edgar Basil Jackson Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

GREGORY W MULRY LCSW
Social Worker (Clinical)
1225 W MITCHELL ST, 223
MILWAUKEE, WI 53204
Milwaukee County (414) 383-4455
KENNETH H WHITE MSW
Counselor (Addiction (Substance Use Disorder))
1225 W MITCHELL ST, #223
MILWAUKEE, WI 53204
Milwaukee County (414) 383-4455
JACQUELINE A ZAGER APSW
Social Worker
1225 W MITCHELL ST, 223
MILWAUKEE, WI 53204
Milwaukee County (414) 383-4455
JOLIE S. HERSH LCSW
Social Worker (Clinical)
1225 W MITCHELL ST, #223
MILWAUKEE, WI 53204
Milwaukee County (414) 383-4455
MRS. JENNIFER LYNN MARCINKEVIC MSW
Social Worker (Clinical)
1225 W MITCHELL ST, #212
MILWAUKEE, WI 53204
Milwaukee County (414) 383-4455
ROCHELLE B WILLIAMS MS
Social Worker
1225 W MITCHELL ST, #223
MILWAUKEE, WI 53204
Milwaukee County (414) 383-4455
DANIELLE DICENTIO
Social Worker (Clinical)
1225 W MITCHELL ST
MILWAUKEE, WI 53204
Milwaukee County (414) 383-4455
MARILYN C KEELEY MS
Social Worker
1225 W MITCHELL ST, #223
MILWAUKEE, WI 53204
Milwaukee County (414) 383-4455

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 Edgar Jackson's NPI number?

The NPI number for Edgar Jackson is 1598833410. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Edgar Jackson located?

Edgar Jackson practices at 1225 W Mitchell St 223, Milwaukee, WI 53204. The listed phone number is (414) 383-4455.

What is Edgar Jackson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Edgar Jackson enrolled in Medicare?

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

What insurance does Edgar Jackson accept?

Health plans from CareSource (Common Ground Healthcare) and Medica list Edgar 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.

When was this NPI record last updated?

The NPPES record for Edgar Jackson was last updated on July 3, 2024. 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.