Dr Mark K Jackson, MD - Medicare Diagnostic Radiology in Oswego, NY

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Dr Mark K Jackson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Oswego, New York. He went to Tufts University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice United Health Services Hospitals, Inc., Chenango Memorial Hospital Inc and his current practice location is 110 W 6th St, Oswego, New York. You can reach out to his office (for appointments etc.) via phone at (315) 349-5000.

Dr Mark K Jackson is licensed to practice in New York (license number 196101) 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 1063405538.

Contact Information

Dr Mark K Jackson, MD
110 W 6th St,
Oswego, NY 13126-2507
(315) 349-5000
Not Available

Map and Direction




Physician's Profile

Full NameDr Mark K Jackson
GenderMale
SpecialityDiagnostic Radiology
Experience35 Years
Location110 W 6th St, Oswego, New York
Accepts Medicare AssignmentsYes. 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 Mark K Jackson attended and graduated from Tufts University School Of Medicine in 1989
  NPI Data:
  • NPI Number: 1063405538
  • Provider Enumeration Date: 08/30/2005
  • Last Update Date: 09/13/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2668523044
  • Enrollment ID: I20090624000621

Medical Identifiers

Medical identifiers for Dr Mark K Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063405538NPI-NPPES
01880015MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 196101 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chenango Memorial HospitalNorwich, NYHospital
United Health Services Hospitals, IncBinghamton, NYHospital
Bassett HealthcareCooperstown, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
United Health Services Hospitals, Inc.5193610533358
Chenango Memorial Hospital Inc751785363387

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 Mark K Jackson allows following entities to bill medicare on his behalf.
Entity NameUnited Health Services Hospitals, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962463851
PECOS PAC ID: 5193610533
Enrollment ID: O20040216001017
Entity NameDelaware Valley Hospital Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144312646
PECOS PAC ID: 2860388337
Enrollment ID: O20040223001307
Entity NameChenango Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770593956
PECOS PAC ID: 7517853633
Enrollment ID: O20040225000911

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 Mark K 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
Dr Mark K Jackson, MD
104 W Utica St,
Oswego, NY 13126-3031

Ph: (315) 343-0257		Dr Mark K Jackson, MD
110 W 6th St,
Oswego, NY 13126-2507

Ph: (315) 349-5000

Reviews and Comments


Radiology Doctors in Oswego, NY

Sudhir Babu Guthikonda, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 110 W 6th St, Oswego, NY 13126
Phone: 315-349-5541    

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.