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

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Dr Theodore A Jackson, MD is a medicare enrolled "Plastic Surgery" physician in Charleston, West Virginia. 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 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 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 NameDr Theodore A Jackson
GenderMale
SpecialityPlastic Surgery
Location1306 Kanawha Blvd E, Charleston, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1942294376NPI-NPPES
0051155000MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 13531 (West Virginia)Primary
2082S0105XPlastic Surgery - Surgery Of The Hand 13531 (West Virginia)Secondary

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 NameHans Lee MD Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003800442
PECOS PAC ID: 7719048834
Enrollment ID: O20081209000068
Entity NameCamc Greenbrier Valley Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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. Jason Prigozen, M.D.
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

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.