DR. MASHIRA DENISHA JACKSON-GALLEGOS MD
NPI 1639373509
Family Medicine in Tampa, FL

NPI Status: Active since June 13, 2007

Contact Information

8751 N 30TH ST
TAMPA, FL
ZIP 33604
Phone: (813) 980-2422
Fax: (813) 305-2642

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Medicare Participation & PECOS Status
Hospital Affiliations - Privileges
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Years of Experience 19
Family Medicine
Accepts Medicare Approved Payment

About MASHIRA JACKSON-GALLEGOS

This page provides the complete NPI Profile along with additional information for Mashira Jackson-gallegos, a primary care provider established in Tampa, Florida with a medical specialization in Family Medicine and more than 19 years of experience. She graduated from Morehouse School Of Medicine in 2007. The healthcare provider is registered in the NPI registry with number 1639373509 assigned on June 2007. The practitioner's primary taxonomy code is 207Q00000X with license number ME 108584 (FL). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI: 1639373509
Provider Name: DR. MASHIRA DENISHA JACKSON-GALLEGOS MD
Other Name: DR. MASHIRA DENISHA JACKSON MD
Other Name Type: Former Name (1)
Gender: Female
Entity Type: Individual
Location Address: 8751 N 30TH ST TAMPA, FL 33604
Location Phone: (813) 980-2422
Location Fax: (813) 305-2642
Mailing Address: 8751 N 30TH ST TAMPA, FL 33604
Mailing Phone: (813) 980-2422
Mailing Fax: (813) 305-2642
Medical School Name: MOREHOUSE SCHOOL OF MEDICINE
Graduation Year: 2007
Is Sole Proprietor?: No
Enumeration Date: 06-13-2007
Last Update Date: 01-31-2025
Code Navigator

A primary care provider (PCP) like Mashira Jackson-gallegos sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

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: Family Medicine
Taxonomy Code: 207Q00000X
Type: Allopathic & Osteopathic Physicians
License No.: ME 108584
License State: FL
Taxonomy Description: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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)
1	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine	141452 (NC)

Medicare Participation & PECOS Enrollment Status

Mashira Jackson-gallegos 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.

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.

PECOS PAC ID: 7416132659
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: I20110503000344
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.

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. Mashira Jackson-gallegos is affiliated with the following medical facilities:

Hospital Name	Address	Phone	Hospital Type	Overall Rating
ST JOSEPHS HOSPITAL	3001 W MARTIN LUTHER KING JR BLVD TAMPA, FL 33677	(813) 870-4398	Acute Care Hospitals
MORTON PLANT HOSPITAL	300 PINELLAS ST CLEARWATER, FL 33756	(727) 462-7000	Acute Care Hospitals

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	3	9	3	7	3	5	0	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	6	9	6	7	6	5	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 7 + 6 + 5 + 0 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 9									9

The NPI number 1639373509 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.