Anthony W Jackson Sr, MD in Elizabeth City, NC

Anthony W Jackson Sr, MD is a medicare enrolled "Otolaryngology" physician in Elizabeth City, North Carolina. He graduated from medical school in 1982 and has 44 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Outer Banks Professional Services, Llc and his current practice location is 105 Medical Dr, Elizabeth City, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 337-7409.

Anthony W Jackson Sr is licensed to practice in North Carolina (license number 2007-00605) 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 1700987062.

Contact Information

	Anthony W Jackson Sr, MD
	105 Medical Dr, Elizabeth City, NC 27909-3361
	(252) 337-7409
	(252) 337-7410

Map and Direction

Physician's Profile

Full Name	Anthony W Jackson Sr
Gender	Male
Speciality	Otolaryngology
Experience	44 Years
Location	105 Medical Dr, Elizabeth City, North Carolina
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:

Anthony W Jackson Sr graduated from medical school in 1982

NPI Data:

NPI Number: 1700987062
Provider Enumeration Date: 09/26/2006
Last Update Date: 01/07/2011

Medicare PECOS Information:

PECOS PAC ID: 8527156819
Enrollment ID: I20071120000639

Medical Identifiers

Medical identifiers for Anthony W Jackson Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700987062	NPI	-	NPPES
14516	Other	NC	BCBSNC
5906945	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	2007-00605 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Outer Banks Hospital, Inc	Nags head, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Outer Banks Professional Services, Llc	3173652096	120

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. Anthony W Jackson Sr allows following entities to bill medicare on his behalf.

Entity Name	Outer Banks Professional Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156

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. Anthony W Jackson Sr 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
Anthony W Jackson Sr, MD 105 Medical Dr, Elizabeth City, NC 27909-3361 Ph: (252) 337-7409	Anthony W Jackson Sr, MD 105 Medical Dr, Elizabeth City, NC 27909-3361 Ph: (252) 337-7409

Reviews and Comments

Otolaryngology Doctors in Elizabeth City, NC

Dr. Casey Guy Nekl, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1134 N Road St Ste 2, Elizabeth City, NC 27909 Phone: 252-384-2770 Fax: 252-679-7673
John Brian Thomas Wood, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1141 North Road Street, Ste K, Elizabeth City, NC 27909 Phone: 252-331-7600 Fax: 252-331-7730

Anthony W Jackson Sr, MD - Medicare Otolaryngology in Elizabeth City, NC