DR. ANTHONY L JACKSON III MD
NPI 1720024847
Emergency Medicine in Folsom, CA
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
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Anthony Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sacramento, CA 95816
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Sutter Valley Medical Foundation
- 3,056 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
Which organization bills Medicare for Anthony Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Jackson reassigns Medicare benefits to Sutter Medical Foundation (Sacramento, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anthony Jackson accept?
Health plans from Kaiser Permanente list Anthony 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 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 6 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.
# Dr. Anthony L Jackson III, MD · NPI 1720024847
Emergency Medicine physician in Folsom, California. Individual provider, active in the CMS NPPES registry since June 20, 2006.
## Identity
- **NPI:** 1720024847 (Entity type: Individual)
- **Enumerated:** June 20, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** G43207 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2575 E BIDWELL ST STE 160, Folsom, CA 95630-6446
- **Phone:** (916) 865-1400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sutter Medical Foundation (NPI 1942524095, Sacramento, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Irvine, California College Of Medicine, class of 1979
## Record status
- **NPPES last updated:** November 4, 2020
- **Other identifiers:** Medicaid 00G432070 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1720024847) · Data from the CMS NPPES public registry.