Cynthia Jackson, MD - Medicare Psychiatry & Neurology in Fayetteville, NY

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Cynthia Jackson, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Fayetteville, New York. Her current practice location is 5100 Highbridge St Apt 47d, Fayetteville, New York. You can reach out to her office (for appointments etc.) via phone at (202) 367-2678.

Cynthia Jackson is licensed to practice in Maryland (license number D0089046) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881128601.

Contact Information

Cynthia Jackson, MD
5100 Highbridge St Apt 47d,
Fayetteville, NY 13066-2461
(202) 367-2678
Not Available

Map and Direction




Physician's Profile

Full NameCynthia Jackson
GenderFemale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location5100 Highbridge St Apt 47d, Fayetteville, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881128601
  • Provider Enumeration Date: 04/18/2017
  • Last Update Date: 09/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3678842986
  • Enrollment ID: I20220920000904

Medical Identifiers

Medical identifiers for Cynthia Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881128601NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry D0089046 (Maryland)Primary

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. Cynthia Jackson allows following entities to bill medicare on her behalf.
Entity NameJohns Hopkins University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922008549
PECOS PAC ID: 8921903147
Enrollment ID: O20031215000719
Entity NameState Of Maryland - University Of Maryland College Park
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841281680
PECOS PAC ID: 7416859327
Enrollment ID: O20040122000210

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. Cynthia 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 AddressPractice Location Address
Cynthia Jackson, MD
1741 Ashland Ave,
Baltimore, MD 21205-1531

Ph: (202) 367-2678		Cynthia Jackson, MD
5100 Highbridge St Apt 47d,
Fayetteville, NY 13066-2461

Ph: (202) 367-2678

Reviews and Comments


Psychiatry & Neurology Doctors in Fayetteville, NY

Jud Staller, M.D.
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Practice Location: 7030 E Genesee St, Fayetteville, NY 13066
Phone: 315-446-1736    
Dr. Matthew Henry Rosa, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 7030 E Genesee St, Suite 109, Fayetteville, NY 13066
Phone: 315-510-6760    Fax: 315-446-7521
Dr. Frances G Haxton, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Lyndon Rd, Fayetteville, NY 13066
Phone: 315-449-4900    Fax: 315-449-4910

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.