Andrea M Jackson, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Locust Grove, Virginia. She went to Duke University School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Uva Community Health Medical Group, Llc and her current practice location is
4376 Germanna Hwy, Locust Grove, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 972-7798.
Andrea M Jackson is licensed to practice in Virginia (license number 0101039547) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528179215.
Physician's Profile
Full Name | Andrea M Jackson |
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Gender | Female |
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Speciality | Obstetrics/gynecology |
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Experience | 40 Years |
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Location | 4376 Germanna Hwy, Locust Grove, Virginia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Andrea M Jackson attended and graduated from Duke University School Of Medicine in 1984
NPI Data:
- NPI Number: 1528179215
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830198795
- Enrollment ID: I20100719000682
Medical Identifiers
Medical identifiers for Andrea M Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528179215 | NPI | - | NPPES |
1528179215 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | C1-0025384 (Delaware) | Secondary |
207V00000X | Obstetrics & Gynecology | 25MA11775800 (New Jersey) | Secondary |
207V00000X | Obstetrics & Gynecology | 95446 (Georgia) | Secondary |
207V00000X | Obstetrics & Gynecology | ME161053 (Florida) | Secondary |
207V00000X | Obstetrics & Gynecology | 0101039547 (Virginia) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Uva Community Health Medical Group, Llc | 4688587967 | 208 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andrea M Jackson allows following entities to bill medicare on her behalf.
Entity Name | University Of Virginia Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780 |
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Entity Name | Rappahannock Women's Health Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558303123 PECOS PAC ID: 9133166911 Enrollment ID: O20050413000517 |
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Entity Name | Uva Community Health Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023483567 PECOS PAC ID: 4688587967 Enrollment ID: O20110311000151 |
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Entity Name | Obhg Virginia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972807394 PECOS PAC ID: 9436323342 Enrollment ID: O20111110000430 |
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Entity Name | Dhp Of Virginia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992060255 PECOS PAC ID: 8820247752 Enrollment ID: O20121009000318 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrea M Jackson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Andrea M Jackson, MD Po Box 9007, Charlottesville, VA 22906-9007 Ph: () - | Andrea M Jackson, MD 4376 Germanna Hwy, Locust Grove, VA 22508-2008 Ph: (540) 972-7798 |
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