Dorshey Jackson, MD - Medicare Family Practice in Syracuse, NY

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Dorshey Jackson, MD is a medicare enrolled "Family Medicine" physician in Syracuse, New York. He graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Physician Mobile Medical Care Pc, St Josephs Hospital Health Center, Mobile Physician Services Pllc and his current practice location is 321 Gifford St, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 703-2600.

Dorshey Jackson is licensed to practice in New York (license number 332383) 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 1154909752.

Contact Information

Dorshey Jackson, MD
321 Gifford St,
Syracuse, NY 13204-3201
(315) 703-2600
Not Available

Map and Direction




Physician's Profile

Full NameDorshey Jackson
GenderMale
SpecialityFamily Practice
Experience5 Years
Location321 Gifford St, Syracuse, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dorshey Jackson graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1154909752
  • Provider Enumeration Date: 04/01/2021
  • Last Update Date: 08/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2163963315
  • Enrollment ID: I20240916002395

Medical Identifiers

Medical identifiers for Dorshey Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154909752NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 332383 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph's Hospital Health CenterSyracuse, NYHospital
Elderwood At LiverpoolLiverpool, NYNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physician Mobile Medical Care Pc842657532597
St Josephs Hospital Health Center9234043324107
Mobile Physician Services Pllc8325360290104

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. Dorshey Jackson allows following entities to bill medicare on his behalf.
Entity NameSt Josephs Hospital Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508815333
PECOS PAC ID: 9234043324
Enrollment ID: O20031113000400
Entity NameSt Josephs Medical PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942501747
PECOS PAC ID: 4688855844
Enrollment ID: O20110221000744
Entity NameMobile Physician Services PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194132415
PECOS PAC ID: 8325360290
Enrollment ID: O20141203001681
Entity NamePhysician Mobile Medical Care PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518765502
PECOS PAC ID: 8426575325
Enrollment ID: O20250505001772

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. Dorshey 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 AddressPractice Location Address
Dorshey Jackson, MD
321 Gifford St,
Syracuse, NY 13204-3201

Ph: (315) 703-2600		Dorshey Jackson, MD
321 Gifford St,
Syracuse, NY 13204-3201

Ph: (315) 703-2600

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.