Lesia Tyson Jackson, MD - Medicare Radiology in Savannah, GA

Lesia Tyson Jackson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Savannah, Georgia. Her current practice location is 4700 Waters Ave, Savannah, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 355-8188.

Lesia Tyson Jackson is licensed to practice in North Carolina (license number 9600354) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245292291.

Contact Information

Lesia Tyson Jackson, MD
4700 Waters Ave,
Savannah, GA 31404-6220
(912) 355-8188
(912) 356-6970

Map and Direction




Physician's Profile

Full NameLesia Tyson Jackson
GenderFemale
SpecialityRadiology - Diagnostic Radiology
Location4700 Waters Ave, Savannah, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245292291
  • Provider Enumeration Date: 04/05/2006
  • Last Update Date: 05/20/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 7214035757
  • Enrollment ID: I20200823000046

Medical Identifiers

Medical identifiers for Lesia Tyson Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245292291NPI-NPPES
P00391009OtherGARAILROAD MEDICARE
52223821001OtherGABCBS
N00354MedicaidSC
078632737AMedicaidGA
8984140MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 9600354 (North Carolina)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. Lesia Tyson 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
Lesia Tyson Jackson, MD
Po Box 15759,
Savannah, GA 31416-2459

Ph: (912) 355-8188
Lesia Tyson Jackson, MD
4700 Waters Ave,
Savannah, GA 31404-6220

Ph: (912) 355-8188

Reviews and Comments


Radiology Doctors in Savannah, GA

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Kerri Lynn Baden, M.D.
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Phone: 912-355-6255    

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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.

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