Kenneth G Jackson Jr, MD in Clemson, SC - Medicare Family Practice

Kenneth G Jackson Jr, MD is a medicare enrolled "Family Medicine" physician in Clemson, South Carolina. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Anmed Health and his current practice location is 885 Tiger Blvd, Clemson, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 654-2067.

Kenneth G Jackson Jr is licensed to practice in South Carolina (license number LL33560) 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 1801183710.

Contact Information

	Kenneth G Jackson Jr, MD
	885 Tiger Blvd, Clemson, SC 29631-1480
	(864) 654-2067
	(864) 653-5926

Map and Direction

Physician's Profile

Full Name	Kenneth G Jackson Jr
Gender	Male
Speciality	Family Practice
Experience	13 Years
Location	885 Tiger Blvd, Clemson, South Carolina
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:

Kenneth G Jackson Jr attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2011

NPI Data:

NPI Number: 1801183710
Provider Enumeration Date: 06/30/2011
Last Update Date: 12/01/2022

Medicare PECOS Information:

PECOS PAC ID: 1355577354
Enrollment ID: I20131121001732

Medical Identifiers

Medical identifiers for Kenneth G Jackson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801183710	NPI	-	NPPES
335603	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	LL33560 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kindred At Home	Greenville, SC	Home health agency
Interim Healthcare Of The Upstate	Greenville, SC	Home health agency
Anmed Health	Anderson, SC	Hospital
Prisma Health Oconee Memorial Hospital	Seneca, SC	Hospital
Prisma Health Greenville Memorial Hospital	Greenville, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anmed Health	1951215243	276

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. Kenneth G Jackson Jr allows following entities to bill medicare on his behalf.

Entity Name	Anmed Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164746392 PECOS PAC ID: 1951215243 Enrollment ID: O20040315000478

Entity Name	Anmed Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427005727 PECOS PAC ID: 1951215243 Enrollment ID: O20040723000885

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. Kenneth G Jackson Jr 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
Kenneth G Jackson Jr, MD Po Box 100174, Columbia, SC 29202-3174 Ph: (864) 512-5725	Kenneth G Jackson Jr, MD 885 Tiger Blvd, Clemson, SC 29631-1480 Ph: (864) 654-2067

Reviews and Comments

Family Medicine Doctors in Clemson, SC

Edmond R Jordan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 895 Tiger Blvd, Clemson, SC 29631 Phone: 864-654-6800 Fax: 864-654-7672
Manju Lakra, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 Tiger Blvd, Suite 400, Clemson, SC 29631 Phone: 864-722-0283 Fax: 864-722-0261
Robert Glen Quattlebaum, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 885 Tiger Blvd, Clemson, SC 29631 Phone: 864-512-7257 Fax: 864-654-3261
Theodore Swann, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 386 College Ave, Clemson, SC 29631 Phone: 864-654-2067 Fax: 864-654-3261
Renee A. Monaghan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 895 Tiger Blvd, Clemson, SC 29631 Phone: 864-512-7527 Fax: 864-654-7672
Ricardo C Hood, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1011 Tiger Blvd, Suite 400, Clemson, SC 29631 Phone: 864-722-0283 Fax: 888-376-4532
Maria A Oliveira, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 735 Mcmillan Rd, Clemson, SC 29634 Phone: 864-656-2233 Fax: 864-656-0760

Kenneth G Jackson Jr, MD - Medicare Family Practice in Clemson, SC