Dr Charles West Jacocks Iv, MD in Fayetteville, NC

Dr Charles West Jacocks Iv, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Fayetteville, North Carolina. His current practice location is 2300 Ramsey St Rm 304-a, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 488-2120.

Dr Charles West Jacocks Iv is licensed to practice in South Carolina (license number 14114) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720051105.

Contact Information

	Dr Charles West Jacocks Iv, MD
	2300 Ramsey St Rm 304-a, Fayetteville, NC 28301-3856
	(910) 488-2120
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Charles West Jacocks Iv
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	2300 Ramsey St Rm 304-a, Fayetteville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720051105
Provider Enumeration Date: 02/08/2006
Last Update Date: 07/31/2019

Medicare PECOS Information:

PECOS PAC ID: 7416083845
Enrollment ID: I20100324001206

Medical Identifiers

Medical identifiers for Dr Charles West Jacocks Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720051105	NPI	-	NPPES
141144	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	14114 (South Carolina)	Primary

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. Dr Charles West Jacocks Iv allows following entities to bill medicare on his behalf.

Entity Name	Prisma Health Tuomey
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548625593 PECOS PAC ID: 2163728528 Enrollment ID: O20160310001016

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. Dr Charles West Jacocks Iv 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
Dr Charles West Jacocks Iv, MD 2300 Ramsey St Rm 304-a, Fayetteville, NC 28301-3856 Ph: (910) 488-2120	Dr Charles West Jacocks Iv, MD 2300 Ramsey St Rm 304-a, Fayetteville, NC 28301-3856 Ph: (910) 488-2120

Reviews and Comments

Internal Medicine Doctors in Fayetteville, NC

Kenneth Melton, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 557 Sandhurst Dr, Fayetteville, NC 28304 Phone: 910-484-8114 Fax: 910-484-1564
Kenneth Russell Manning, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6910 Fax: 910-609-5219
San San Wai, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2300 Ramsey St, Va Medical Center, Fayetteville, NC 28301 Phone: 910-488-2120
Dr. Sabena Johnson, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 910-488-2120
Dr. Stephen S Logue, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1843 Quiet Cv, Fayetteville, NC 28304 Phone: 910-483-8080 Fax: 910-483-3258
David Tat, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100 Fax: 910-678-0110
Dr. Ghanshyam Pradyumna Dwivedi, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1778 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-483-4680 Fax: 910-484-2704

Dr Charles West Jacocks Iv, MD - Medicare Internal Medicine in Fayetteville, NC