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DR. KAEDREA JACKSON M.D.
NPI 1982809497
Emergency Medicine in Brooklyn, NY

Active since June 15, 2007PECOS Enrolled
451 CLARKSON AVE, BROOKLYN, NY 11203(718) 245-4795 Get Directions Write a Review

NPPES record last updated: February 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kaedrea Jackson M.d. NPPES

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

DR. KAEDREA JACKSON M.D. (NPI 1982809497) is an individual emergency medicine provider in Brooklyn, New York, licensed in New York (255061) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982809497
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. KAEDREA JACKSONCredential: M.D.
Location Address451 CLARKSON AVEBrooklyn, NY 11203-2054
Mailing Address2800 Marcus Ave, Box 1228New Hyde Park, NY 11042-1113 · (718) 245-4790
Phone(718) 245-4795
Sole ProprietorYes
Enumeration DateJune 15, 2007
Last NPPES UpdateFebruary 16, 2016
✔ NPI 1982809497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 255061
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 255061 (NY)
451 CLARKSON AVE, Brooklyn, NY 11203
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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)

Dr. Kaedrea 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 20

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

GEORGETTE JONES LCSW
Social Worker (Clinical)
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-3131
DR. NINAD DESAI MD
Pediatrics (Pediatric Hematology-Oncology)
451 CLARKSON AVE, KINGS COUNTY HOSPITAL CENTER; B 6202
BROOKLYN, NY 11203
Kings County (718) 245-4105
MS. BARBARA ANGELA HENDERSON RRT
General Acute Care Hospital
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-4526
VIKTORIYA TKACHENKO M.D.
Internal Medicine
451 CLARKSON AVE, BOX 22
BROOKLYN, NY 11203
Kings County (718) 245-2237
LANCE WINSLOW PSYD
Psychologist
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-1162
LYDIE KOHLER MCKENZIE MD
Emergency Medicine
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-4616
LEELA VENKAT MD
Anesthesiology
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-4408
KINGS COUNTY HOSPITAL
General Acute Care Hospital
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-2891

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 Kaedrea Jackson's NPI number?

The NPI number for Kaedrea Jackson is 1982809497. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Kaedrea Jackson located?

Kaedrea Jackson practices at 451 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 245-4795.

What is Kaedrea Jackson's specialty?

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

Is Kaedrea Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kaedrea Jackson was last updated on February 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.