Dr Tatianie Alicia Jackson, MD in Scranton, PA

Dr Tatianie Alicia Jackson, MD is a medicare enrolled "Radiology - Nuclear Radiology" physician in Scranton, Pennsylvania. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Nuclear Medicine. She is a member of the group practice Saint Vincent Radiological Associates Inc, Geisinger Clinic and her current practice location is 1800 Mulberry St, Scranton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 703-8151.

Dr Tatianie Alicia Jackson is licensed to practice in Pennsylvania (license number MD470854) 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 1528313558.

Contact Information

	Dr Tatianie Alicia Jackson, MD
	1800 Mulberry St, Scranton, PA 18510-2369
	(570) 703-8151
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tatianie Alicia Jackson
Gender	Female
Speciality	Nuclear Medicine
Experience	15 Years
Location	1800 Mulberry St, Scranton, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Tatianie Alicia Jackson graduated from medical school in 2009

NPI Data:

NPI Number: 1528313558
Provider Enumeration Date: 07/16/2012
Last Update Date: 09/25/2020

Medicare PECOS Information:

PECOS PAC ID: 1355681891
Enrollment ID: I20190320002728

Medical Identifiers

Medical identifiers for Dr Tatianie Alicia Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528313558	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	278083 (Massachusetts)	Secondary
2085N0904X	Radiology - Nuclear Radiology	MD470854 (Pennsylvania)	Primary
207U00000X	Nuclear Medicine	278083 (Massachusetts)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Geisinger Wyoming Valley Medical Center	Wilkes barre, PA	Hospital
Metrowest Medical Center	Framingham, MA	Hospital
Geisinger-community Medical Center	Scranton, PA	Hospital
Geisinger Medical Center	Danville, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Saint Vincent Radiological Associates Inc	1850365578	17
Geisinger Clinic	5395657001	2866

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 Tatianie Alicia Jackson allows following entities to bill medicare on her behalf.

Entity Name	Lahey Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097

Entity Name	Lahey Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269

Entity Name	Saint Vincent Radiological Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366482093 PECOS PAC ID: 1850365578 Enrollment ID: O20040819001249

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 Tatianie Alicia 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 Tatianie Alicia Jackson, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144	Dr Tatianie Alicia Jackson, MD 1800 Mulberry St, Scranton, PA 18510-2369 Ph: (570) 703-8151

Reviews and Comments

Radiology Doctors in Scranton, PA

Dr. Shaun W. Mclaughlin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8151 Fax: 570-703-8387
Dr. Salman S Mirza, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St., Scranton, PA 18510 Phone: 570-703-8151 Fax: 570-703-8387
Jamie S Stallman, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 700 Quincy Ave, Scranton, PA 18510 Phone: 570-307-4225 Fax: 570-307-4226
Champak M Dedhia, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 700 Quincy Ave, Scranton, PA 18510 Phone: 570-307-4225
Sagar M Shah, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8151
Jonathon C. Sullum, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2601 Stafford Avenue, Scranton, PA 18505 Phone: 570-346-6633
Kevin T Fogarty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Lackawanna Ave Ste 200, Scranton, PA 18503 Phone: 484-884-4500 Fax: 570-800-7529

Dr Tatianie Alicia Jackson, MD - Medicare Nuclear Medicine in Scranton, PA