Jacqueline Marie Fergerson, MD is a medicare enrolled "Ophthalmology" physician in Cortland, New York. She went to State University Of Ny Upstate Medical University and graduated in 2001 and has 23 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Cortland Ophthalmological Care Pllc and her current practice location is
1160 Tompkins St, Cortland, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 753-7528.
Jacqueline Marie Fergerson is licensed to practice in New York (license number 226008) 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 1285687475.
Physician's Profile
Full Name | Jacqueline Marie Fergerson |
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Gender | Female |
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Speciality | Ophthalmology |
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Experience | 23 Years |
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Location | 1160 Tompkins St, Cortland, New York |
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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:
- Jacqueline Marie Fergerson attended and graduated from State University Of Ny Upstate Medical University in 2001
NPI Data:
- NPI Number: 1285687475
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 01/15/2008
Medicare PECOS Information:
- PECOS PAC ID: 7618974940
- Enrollment ID: I20061031000127
Medical Identifiers
Medical identifiers for Jacqueline Marie Fergerson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285687475 | NPI | - | NPPES |
02656146 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 226008 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Cortland Ophthalmological Care Pllc | 3072510312 | 4 |
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. Jacqueline Marie Fergerson allows following entities to bill medicare on her behalf.
Entity Name | Ophthalmology Medical Service Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225072051 PECOS PAC ID: 0446248033 Enrollment ID: O20040503001408 |
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Entity Name | Cortland Ophthalmological Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508952540 PECOS PAC ID: 3072510312 Enrollment ID: O20061031000134 |
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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. Jacqueline Marie Fergerson 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 |
Jacqueline Marie Fergerson, MD 1160 Tompkins St, Cortland, NY 13045-3578 Ph: (607) 753-7528 | Jacqueline Marie Fergerson, MD 1160 Tompkins St, Cortland, NY 13045-3578 Ph: (607) 753-7528 |
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