Dr Thomas R Jackson, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Schenectady, New York. His current practice location is
500 State St, Schenectady, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 489-2663.
Dr Thomas R Jackson is licensed to practice in New York (license number 246110) 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 1790765667.
Physician's Profile
| Full Name | Dr Thomas R Jackson |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 500 State St, Schenectady, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Thomas R Jackson attended and graduated from in
NPI Data:
- NPI Number: 1790765667
- Provider Enumeration Date: 01/18/2006
- Last Update Date: 07/17/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Thomas R Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790765667 | NPI | - | NPPES |
| NC1445 | Medicaid | SC | |
| 1790765667 | Medicaid | NC | |
| 5918134 | Medicaid | NC | |
| TJ79199 | Medicaid | RI | |
| 04074237 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | MT179687 (Pennsylvania) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | MD13171 (Rhode Island) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 2011-00970 (North Carolina) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | MD13171 (Rhode Island) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 246110 (New York) | Primary |
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 Thomas R 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 Thomas R Jackson, MD
121 Everett Rd,
Albany, NY 12205-1474
Ph: (518) 489-2663 | Dr Thomas R Jackson, MD
500 State St,
Schenectady, NY 12305-2414
Ph: (518) 489-2663 |
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