Dr Thomas R Jackson, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Schenectady, New York. He went to Temple University School Of Medicine and graduated in 2002 and has 23 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Orthopedicsny, Llp and 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 |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 23 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 Temple University School Of Medicine in 2002
NPI Data:
- NPI Number: 1790765667
- Provider Enumeration Date: 01/18/2006
- Last Update Date: 07/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 2163435918
- Enrollment ID: I20080324000143
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Orthopedicsny, Llp | 6901898170 | 110 |
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 Thomas R Jackson allows following entities to bill medicare on his behalf.
| Entity Name | Orthopedicsny, Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568415412
PECOS PAC ID: 6901898170
Enrollment ID: O20040330001750 |
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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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