Dr Jeffrey Burke Jackson, MD is a medicare enrolled "Dermatology - Dermatopathology" physician in Elkins, West Virginia. He went to West Virginia University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Mountain State Medical Specialties Pllc and his current practice location is
100 Seneca Rd, Elkins, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 637-2777.
Dr Jeffrey Burke Jackson is licensed to practice in West Virginia (license number 16375) 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 1780611590.
Physician's Profile
| Full Name | Dr Jeffrey Burke Jackson |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 35 Years |
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| Location | 100 Seneca Rd, Elkins, West Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jeffrey Burke Jackson attended and graduated from West Virginia University School Of Medicine in 1989
NPI Data:
- NPI Number: 1780611590
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 01/23/2015
Medicare PECOS Information:
- PECOS PAC ID: 9335186444
- Enrollment ID: I20050411000797
Medical Identifiers
Medical identifiers for Dr Jeffrey Burke Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780611590 | NPI | - | NPPES |
| 0074811000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ND0900X | Dermatology - Dermatopathology | 16375 (West Virginia) | Primary |
| 207N00000X | Dermatology | 16375 (West Virginia) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mountain State Medical Specialties Pllc | 9335046754 | 33 |
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 Jeffrey Burke Jackson allows following entities to bill medicare on his behalf.
| Entity Name | Mountain State Medical Specialties Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891892097
PECOS PAC ID: 9335046754
Enrollment ID: O20040308000599 |
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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. Dr Jeffrey Burke 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 |
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Dr Jeffrey Burke Jackson, MD
125 N 6th St,
Clarksburg, WV 26301-2665
Ph: (304) 624-7200 | Dr Jeffrey Burke Jackson, MD
100 Seneca Rd,
Elkins, WV 26241-9709
Ph: (304) 637-2777 |
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