Dr Charles Frederick Jackson Iii, MD in Rome, GA - Medicare Cardiovascular Disease (cardiology)

Dr Charles Frederick Jackson Iii, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Rome, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Adventist Health System Georgia Inc and his current practice location is 7 John Maddox Dr Nw, Rome, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 368-8500.

Dr Charles Frederick Jackson Iii is licensed to practice in Georgia (license number 066188) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629252184.

Contact Information

	Dr Charles Frederick Jackson Iii, MD
	7 John Maddox Dr Nw, Rome, GA 30165-1413
	(706) 368-8500
	(706) 307-4613

Map and Direction

Physician's Profile

Full Name	Dr Charles Frederick Jackson Iii
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	19 Years
Location	7 John Maddox Dr Nw, Rome, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Charles Frederick Jackson Iii attended and graduated from Medical College Of Georgia School Of Medicine in 2005

NPI Data:

NPI Number: 1629252184
Provider Enumeration Date: 12/19/2007
Last Update Date: 08/28/2023

Medicare PECOS Information:

PECOS PAC ID: 4486818523
Enrollment ID: I20120621000052

Medical Identifiers

Medical identifiers for Dr Charles Frederick Jackson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629252184	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	066188 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Redmond Regional Medical Center	Rome, GA	Hospital
Floyd Medical Center	Rome, GA	Hospital
Adventhealth Gordon	Calhoun, GA	Hospital
Polk Medical Center	Cedartown, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Adventist Health System Georgia Inc	4486568037	184

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. Dr Charles Frederick Jackson Iii allows following entities to bill medicare on his behalf.

Entity Name	Harbin Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679599088 PECOS PAC ID: 0446154231 Enrollment ID: O20031124000117

Entity Name	Adventist Health System Georgia Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699791343 PECOS PAC ID: 4486568037 Enrollment ID: O20031203000557

Entity Name	Floyd Healthcare Management Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689610149 PECOS PAC ID: 5193633386 Enrollment ID: O20040127000897

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. Dr Charles Frederick Jackson Iii 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
Dr Charles Frederick Jackson Iii, MD Po Box 12938, C/o Clinic Management, Calhoun, GA 30703 Ph: (706) 602-7800	Dr Charles Frederick Jackson Iii, MD 7 John Maddox Dr Nw, Rome, GA 30165-1413 Ph: (706) 368-8500

Reviews and Comments

Internal Medicine Doctors in Rome, GA

Dr. Jeffrey Todd Talbot, MD, MPH Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 501 Redmond Rd Nw, Rome, GA 30165 Phone: 404-502-5778
Robert John Madden, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 14 John Maddox Dr Nw, Rome, GA 30165 Phone: 706-295-7320 Fax: 706-295-7319
Dr. Susan Uchenna Otaluka, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-509-5000
Dr. Nicole Lauren Gilreath, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 304 Turner Mccall Blvd, Rome, GA 30165 Phone: 706-509-5000
Pamela D Shannon, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 315 West 10th Street, Ste 110 Affordable Health Care Llc, Rome, GA 30165 Phone: 706-802-1322 Fax: 706-802-0716
Mrs. Anna-belle Marie Robertson, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 123 Three Rivers Dr Ne, Rome, GA 30161 Phone: 706-295-3961
Dr. Hamid Reza Chimeh, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 315 W 10th St Ne Ste 110, Rome, GA 30165 Phone: 706-378-7661 Fax: 888-975-2420

Dr Charles Frederick Jackson Iii, MD - Medicare Cardiovascular Disease (cardiology) in Rome, GA