Dr Leland Jay Jackson, MD in Camillus, NY

Dr Leland Jay Jackson, MD is a medicare enrolled "Family Medicine" physician in Camillus, New York. He went to University Of Arizona College Of Medicine and graduated in 1986 and has 40 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Select Pt, Ot And Slp Rehabilitation Ny, Pllc and his current practice location is 5006 W Genesee St, Camillus, New York. You can reach out to his office (for appointments etc.) via phone at (315) 234-2342.

Dr Leland Jay Jackson is licensed to practice in New York (license number 171536) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1386616472.

Contact Information

	Dr Leland Jay Jackson, MD
	5006 W Genesee St, Camillus, NY 13031-2326
	(315) 234-2342
	(315) 234-0697

Map and Direction

Physician's Profile

Full Name	Dr Leland Jay Jackson
Gender	Male
Speciality	Family Practice
Experience	40 Years
Location	5006 W Genesee St, Camillus, New York
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Leland Jay Jackson attended and graduated from University Of Arizona College Of Medicine in 1986

NPI Data:

NPI Number: 1386616472
Provider Enumeration Date: 02/03/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8022070333
Enrollment ID: I20111221000665

Medical Identifiers

Medical identifiers for Dr Leland Jay Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386616472	NPI	-	NPPES
01348347	Medicaid	NY
171536	Other	NY	STATE LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	171536 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kindred At Home (liverpool)	Liverpool, NY	Home health agency
Nascentia Health At Home	Syracuse, NY	Home health agency
Hcr / Hcr Home Care Chha (east Syracuse)	East syracuse, NY	Home health agency
Hospice Of Central New York	Liverpool, NY	Hospice
University Hospital S U N Y Health Science Center	Syracuse, NY	Hospital
Crouse Hospital	Syracuse, NY	Hospital
Auburn Community Hospital	Auburn, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Select Pt, Ot And Slp Rehabilitation Ny, Pllc	3870986656	272

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 Leland Jay Jackson allows following entities to bill medicare on his behalf.

Entity Name	Fairmount Family Medicine Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659491421 PECOS PAC ID: 0941262240 Enrollment ID: O20041029000232

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 Leland Jay 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 Address	Practice Location Address
Dr Leland Jay Jackson, MD 5006 W Genesee St, Camillus, NY 13031-2326 Ph: (315) 234-2342	Dr Leland Jay Jackson, MD 5006 W Genesee St, Camillus, NY 13031-2326 Ph: (315) 234-2342

Reviews and Comments

Family Medicine Doctors in Camillus, NY

Thomas J Laclair, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 436 Hinsdale Rd, Camillus, NY 13031 Phone: 315-488-0996 Fax: 315-488-1955
Dennis David Daly, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 5700 W Genesee St, Camillus, NY 13031 Phone: 315-487-1573 Fax: 315-487-2418
James Francis Lawless, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 436 Hinsdale Rd, Camillus, NY 13031 Phone: 315-488-0996 Fax: 315-488-1955
David Thurber Page, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 436 Hinsdale Rd, Camillus, NY 13031 Phone: 315-488-0996 Fax: 315-488-1955
Wisam Al-mutawalli, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 208 Township Blvd, Ste 100, Camillus, NY 13031 Phone: 315-551-6000
Dr. David Thomas Hope, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5415 W Genesee St, Suite 301, Camillus, NY 13031 Phone: 315-487-8109 Fax: 315-487-5680
Henry William Schoeneck, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5700 W Genesee St, Camillus, NY 13031 Phone: 315-487-1573 Fax: 315-487-2418

Dr Leland Jay Jackson, MD - Medicare Family Practice in Camillus, NY