Jackie S Avery, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Queensbury, New York. She went to William M. Scholl College Of Podiatric Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Hudson Headwaters Health Network and her current practice location is
161 Carey Rd, Queensbury, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 824-8610.
Jackie S Avery is licensed to practice in New York (license number 006408) 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 1134225063.
Healthcare Provider's Profile
| Full Name | Jackie S Avery |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 25 Years |
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| Location | 161 Carey Rd, Queensbury, 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. |
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Medical Education and Training:
- Jackie S Avery attended and graduated from William M. Scholl College Of Podiatric Medicine in 1999
NPI Data:
- NPI Number: 1134225063
- Provider Enumeration Date: 09/16/2006
- Last Update Date: 11/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 1052591443
- Enrollment ID: I20110921000512
Medical Identifiers
Medical identifiers for Jackie S Avery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134225063 | NPI | - | NPPES |
| 03387088 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0131X | Podiatrist - Foot Surgery | 006408 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hudson Headwaters Health Network | 7416861208 | 167 |
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. Jackie S Avery allows following entities to bill medicare on her behalf.
| Provider Name | Hudson Headwaters Health Network |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1194738344
PECOS PAC ID: 7416861208
Enrollment ID: O20031117000239 |
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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. Jackie S Avery 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 |
|---|
Jackie S Avery, DPM
9 Carey Rd,
Queensbury, NY 12804-7880
Ph: (518) 761-0300 | Jackie S Avery, DPM
161 Carey Rd,
Queensbury, NY 12804-7821
Ph: (518) 824-8610 |
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