Dr Susan Marie Jackson, DO is a medicare enrolled "Family Medicine" physician in Hallstead, Pennsylvania. Her current practice location is
25066 Sr 11, Hallstead, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 879-5249.
Dr Susan Marie Jackson is licensed to practice in Pennsylvania (license number OS015552) 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 1780749671.
Physician's Profile
Full Name | Dr Susan Marie Jackson |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 25066 Sr 11, Hallstead, Pennsylvania |
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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 Susan Marie Jackson attended and graduated from in
NPI Data:
- NPI Number: 1780749671
- Provider Enumeration Date: 12/22/2006
- Last Update Date: 05/08/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Susan Marie Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780749671 | NPI | - | NPPES |
02903533 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 2000163890 (Missouri) | Secondary |
207Q00000X | Family Medicine | 244722 (New York) | Secondary |
207Q00000X | Family Medicine | OS015552 (Pennsylvania) | Primary |
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 Susan Marie 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 Susan Marie Jackson, DO 25054 Sr 11, Hallstead, PA 18822 Ph: (570) 879-6870 | Dr Susan Marie Jackson, DO 25066 Sr 11, Hallstead, PA 18822 Ph: (570) 879-5249 |
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