Dr Clintonia Jackson, MD in Greenville, SC

Dr Clintonia Jackson, MD is a medicare enrolled "Anesthesiology" physician in Greenville, South Carolina. She went to University Of Miami, Lm Miller School Of Medicine and graduated in 1990 and has 35 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice Under Anesthesia and her current practice location is 5 Memorial Medical Ct, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 272-3409.

Dr Clintonia Jackson is licensed to practice in Florida (license number ME66277) 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 1164585790.

Contact Information

	Dr Clintonia Jackson, MD
	5 Memorial Medical Ct, Greenville, SC 29605-4449
	(864) 272-3409
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Clintonia Jackson
Gender	Female
Speciality	Anesthesiology
Experience	35 Years
Location	5 Memorial Medical Ct, Greenville, South Carolina
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:

Dr Clintonia Jackson attended and graduated from University Of Miami, Lm Miller School Of Medicine in 1990

NPI Data:

NPI Number: 1164585790
Provider Enumeration Date: 12/18/2006
Last Update Date: 08/23/2016

Medicare PECOS Information:

PECOS PAC ID: 0345216842
Enrollment ID: I20150810000794

Medical Identifiers

Medical identifiers for Dr Clintonia Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164585790	NPI	-	NPPES
000042300	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	ME66277 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Under Anesthesia	6901083724	12

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 Clintonia Jackson allows following entities to bill medicare on her behalf.

Entity Name	Lighthouse Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306036561 PECOS PAC ID: 4082702386 Enrollment ID: O20080505000267

Entity Name	Under Anesthesia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194018242 PECOS PAC ID: 6901083724 Enrollment ID: O20110603000459

Entity Name	Medstream Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021

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 Clintonia 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
Dr Clintonia Jackson, MD 3620 Pelham Rd, Pmb 145, Greenville, SC 29615-5044 Ph: (321) 698-7637	Dr Clintonia Jackson, MD 5 Memorial Medical Ct, Greenville, SC 29605-4449 Ph: (864) 272-3409

Reviews and Comments

Anesthesiology Doctors in Greenville, SC

Jeffrey Alexander Wharton, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 67 Creekside Park Ct, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705
Mark D Naquin, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Francis Dr, Greenville, SC 29601 Phone: 864-255-1000 Fax: 864-269-1361
William Robert Hand, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 67 Creekside Park Ct, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705
John D Sherbert, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Francis Dr, Greenville, SC 29601 Phone: 864-255-1000 Fax: 864-269-1361
Dr. Andreea Lazar, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705
Margaret M Miller, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 67 Creekside Park Ct, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705
Martin D Whigham, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Francis Dr, Greenville, SC 29601 Phone: 864-255-1000 Fax: 864-269-1361

Dr Clintonia Jackson, MD - Medicare Anesthesiology in Greenville, SC