Dr Theodore A Jackson, MD in Charleston, WV - Medicare Plastic And Reconstructive Surgery

Dr Theodore A Jackson, MD is a medicare enrolled "Plastic Surgery" physician in Charleston, West Virginia. He went to West Virginia University School Of Medicine and graduated in 1982 and has 43 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Hans Lee Md Inc and his current practice location is 1306 Kanawha Blvd E, Suite 100, Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 342-1113.

Dr Theodore A Jackson is licensed to practice in West Virginia (license number 13531) 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 1942294376.

Contact Information

	Dr Theodore A Jackson, MD
	1306 Kanawha Blvd E, Suite 100, Charleston, WV 25301-3001
	(304) 342-1113
	(304) 346-2271

Map and Direction

Physician's Profile

Full Name	Dr Theodore A Jackson
Gender	Male
Speciality	Plastic And Reconstructive Surgery
Experience	43 Years
Location	1306 Kanawha Blvd E, Charleston, West Virginia
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:

Dr Theodore A Jackson attended and graduated from West Virginia University School Of Medicine in 1982

NPI Data:

NPI Number: 1942294376
Provider Enumeration Date: 08/31/2005
Last Update Date: 03/12/2009

Medicare PECOS Information:

PECOS PAC ID: 1850462581
Enrollment ID: I20111123000276

Medical Identifiers

Medical identifiers for Dr Theodore A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942294376	NPI	-	NPPES
0051155000	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	13531 (West Virginia)	Primary
2082S0105X	Plastic Surgery - Surgery Of The Hand	13531 (West Virginia)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Charleston Surgical Hospital	Charleston, WV	Hospital
Charleston Area Medical Center	Charleston, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hans Lee Md Inc	7719048834	2

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 Theodore A Jackson allows following entities to bill medicare on his behalf.

Entity Name	Hans Lee Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003800442 PECOS PAC ID: 7719048834 Enrollment ID: O20081209000068

Entity Name	Camc Greenbrier Valley Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588373872 PECOS PAC ID: 1254702962 Enrollment ID: O20230118000113

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 Theodore A 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 Theodore A Jackson, MD 1306 Kanawha Blvd E, Suite 100, Charleston, WV 25301-3001 Ph: (304) 342-1113	Dr Theodore A Jackson, MD 1306 Kanawha Blvd E, Suite 100, Charleston, WV 25301-3001 Ph: (304) 342-1113

Reviews and Comments

Plastic Surgery Doctors in Charleston, WV

Taylor Mackenzie Summers, PA-C Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 Brooks St Ste 200, Charleston, WV 25301 Phone: 304-388-1930
Dr. Fred T. Pulido Jr., M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1213 Virginia St E, Third Floor, Charleston, WV 25301 Phone: 304-345-5466 Fax: 304-345-5472
Dr. Justin Leigh Mckinney, DO Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 Brooks St Ste 200, Charleston, WV 25301 Phone: 304-388-1930 Fax: 304-388-1929
Dr. Hans S. Lee, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1306 Kanawha Blvd E, Suite 100, Charleston, WV 25301 Phone: 304-342-1113 Fax: 304-346-2271
Dr. William A Wood, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 210 Brooks St, Suite 200, Charleston, WV 25301 Phone: 304-388-1930 Fax: 304-388-1929
Dr. Donald Edward Sweitzer, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 Morris St, Ste 103, Charleston, WV 25301 Phone: 304-388-7040 Fax: 304-388-7041
Dr. William Andrew Stewart, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 Brooks St Ste 200, Charleston, WV 25301 Phone: 304-388-1930 Fax: 304-388-1929

Dr Theodore A Jackson, MD - Medicare Plastic And Reconstructive Surgery in Charleston, WV