Lasandra D Jackson, MD in Greer, SC - Medicare General Surgery

Lasandra D Jackson, MD is a medicare enrolled "Surgery" physician in Greer, South Carolina. She went to Rutgers R W Johnson Medical School (cam/new Bruns/pisc) and graduated in 1997 and has 28 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Riverside Physician Services Inc, The Charlotte-mecklenburg Hospital Authority and her current practice location is 2755 S Highway 14, Suite 2200, Greer, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 849-9555.

Lasandra D Jackson is licensed to practice in Virginia (license number 0101240815) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356429674.

Contact Information

	Lasandra D Jackson, MD
	2755 S Highway 14, Suite 2200, Greer, SC 29650-4902
	(864) 849-9555
	(864) 849-9556

Map and Direction

Physician's Profile

Full Name	Lasandra D Jackson
Gender	Female
Speciality	General Surgery
Experience	28 Years
Location	2755 S Highway 14, Greer, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lasandra D Jackson attended and graduated from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) in 1997

NPI Data:

NPI Number: 1356429674
Provider Enumeration Date: 11/02/2006
Last Update Date: 01/21/2025

Medicare PECOS Information:

PECOS PAC ID: 8426040882
Enrollment ID: I20070307000205

Medical Identifiers

Medical identifiers for Lasandra D Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356429674	NPI	-	NPPES
C09633	Other	VA	GROUP PTAN
202890	Medicaid	SC
C06695	Other	VA	GROUP PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	20289 (South Carolina)	Secondary
208600000X	Surgery	0101240815 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Atrium Health Lincoln	Lincolnton, NC	Hospital
Riverside Shore Memorial Hospital	Onancock, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Riverside Physician Services Inc	5092608448	713
The Charlotte-mecklenburg Hospital Authority	2961310685	512

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. Lasandra D Jackson allows following entities to bill medicare on her behalf.

Entity Name	Riverside Physician Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400

Entity Name	Mary Washington Healthcare Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295999852 PECOS PAC ID: 2769546530 Enrollment ID: O20090123000298

Entity Name	Dlp Twin County Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962078527 PECOS PAC ID: 7214199512 Enrollment ID: O20120503000011

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. Lasandra D 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
Lasandra D Jackson, MD Po Box 419402, Boston, MA 02241-9402 Ph: (864) 560-4304	Lasandra D Jackson, MD 2755 S Highway 14, Suite 2200, Greer, SC 29650-4902 Ph: (864) 849-9555

Reviews and Comments

Surgery Doctors in Greer, SC

Dr. Kevin Shultz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 The Pkwy, Greer, SC 29650 Phone: 649-680-1688 Fax: 864-968-9248
Geetika Dembla, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2700 E Phillips Rd, Greer, SC 29650 Phone: 864-235-2335
Dr. Barbara Sharon Murray, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 340 Medical Pkwy Ste 250, Greer, SC 29650 Phone: 864-797-9480 Fax: 864-797-9482
Dr. Paul Anthony Lepage, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2755 S Highway 14 Ste 2200, Greer, SC 29650 Phone: 864-849-9555 Fax: 864-849-9556
Dr. Derek Steven Brenda, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2755 S Highway 14, Suite 2500, Greer, SC 29650 Phone: 864-849-9555 Fax: 864-849-9556
Timothy Lee Dersch, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 340 Medical Pkwy, Ste 200, Greer, SC 29650 Phone: 864-797-9400 Fax: 864-797-9402

Lasandra D Jackson, MD - Medicare General Surgery in Greer, SC