DR. ANTHONY L JACKSON III MD
NPI 1720024847
Emergency Medicine in Folsom, CA

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
2575 E BIDWELL ST STE 160, FOLSOM, CA 95630(916) 865-1400 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Anthony L Jackson Iii Md NPPES

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

DR. ANTHONY L JACKSON III MD (NPI 1720024847) is an individual emergency medicine provider in Folsom, California, licensed in California (G43207) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (1979).

NPPES Registry Identity

NPI1720024847
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ANTHONY L JACKSON IIICredential: MD
Location Address2575 E BIDWELL ST STE 160Folsom, CA 95630-6446
Mailing AddressPo Box 255228Sacramento, CA 95865-5228
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1979
Enumeration DateJune 20, 2006
Last NPPES UpdateNovember 4, 2020
NPPES CertifiedNovember 4, 2020
NPI 1720024847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · G43207
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2575 E BIDWELL ST STE 160, Folsom, CA 95630

Other Identifiers 1

Medicaid00G432070CA

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

Dr. Anthony L Jackson Iii 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 ID2466420146
PECOS Enrollment IDI20040921000386
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services63 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
53 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95630 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
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 6

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

Physical Therapist (Orthopedic)
2575 E BIDWELL ST STE 160
FOLSOM, CA 95630
Family Medicine
2575 E BIDWELL ST STE 160
FOLSOM, CA 95630
Physician Assistant
2575 E BIDWELL ST STE 160
FOLSOM, CA 95630
Physical Therapist (Orthopedic)
2575 E BIDWELL ST STE 160
FOLSOM, CA 95630
Family Medicine
2575 E BIDWELL ST STE 160
FOLSOM, CA 95630
Physical Therapist
2575 E BIDWELL ST STE 160
FOLSOM, CA 95630

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 Anthony Jackson's NPI number?

The NPI number for Anthony Jackson is 1720024847. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Anthony Jackson located?

Anthony Jackson practices at 2575 E Bidwell St Ste 160, Folsom, CA 95630. The listed phone number is (916) 865-1400.

What is Anthony Jackson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Anthony Jackson enrolled in Medicare?

Yes. Anthony 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.

When was this NPI record last updated?

The NPPES record for Anthony Jackson was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.