Dvone Jackson, MD in Philadelphia, PA - Medicare Internal Medicine

Dvone Jackson, MD is a medicare enrolled "Internal Medicine" physician in Philadelphia, Pennsylvania. He went to Johns Hopkins University School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Clinical Care Associates Of The University Of Pennsylvania Health, Trinity Health Mid-atlantic Medical Group and his current practice location is 800 Spruce St, Pine 1 West, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 829-7817.

Dvone Jackson is licensed to practice in Pennsylvania (license number MD475136) 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 1528459500.

Contact Information

	Dvone Jackson, MD
	800 Spruce St, Pine 1 West, Philadelphia, PA 19107-6130
	(215) 829-7817
	(215) 829-7129

Map and Direction

Physician's Profile

Full Name	Dvone Jackson
Gender	Male
Speciality	Internal Medicine
Experience	7 Years
Location	800 Spruce St, Philadelphia, Pennsylvania
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:

Dvone Jackson attended and graduated from Johns Hopkins University School Of Medicine in 2017

NPI Data:

NPI Number: 1528459500
Provider Enumeration Date: 02/11/2015
Last Update Date: 05/25/2023

Medicare PECOS Information:

PECOS PAC ID: 4688078512
Enrollment ID: I20210813001964

Medical Identifiers

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

Identifier	Type	State	Issuer
1528459500	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	MD475136 (Pennsylvania)	Secondary
207R00000X	Internal Medicine	MD475136 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Pennsylvania Hospital	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clinical Care Associates Of The University Of Pennsylvania Health	4688588866	507
Trinity Health Mid-atlantic Medical Group	7416861885	333

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. Dvone Jackson allows following entities to bill medicare on his behalf.

Entity Name	Clinical Care Associates Of The University Of Pennsylvania Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972682995 PECOS PAC ID: 4688588866 Enrollment ID: O20031113000301

Entity Name	Trinity Health Mid-atlantic Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093771271 PECOS PAC ID: 7416861885 Enrollment ID: O20040326000613

Entity Name	Nazareth Physician Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285150458 PECOS PAC ID: 0941229017 Enrollment ID: O20171026001610

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. Dvone 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
Dvone Jackson, MD 800 Spruce St, Pine 1 West, Philadelphia, PA 19107-6130 Ph: (215) 829-7817	Dvone Jackson, MD 800 Spruce St, Pine 1 West, Philadelphia, PA 19107-6130 Ph: (215) 829-7817

Reviews and Comments

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Dvone Jackson, MD - Medicare Internal Medicine in Philadelphia, PA