Theresa G Jackson, MD in Portsmouth, VA - Medicare Physical Medicine And Rehabilitation

Theresa G Jackson, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Portsmouth, Virginia. She went to Eastern Virginia Medical School and graduated in 1989 and has 35 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Bon Secours Medical Group Hampton Roads Specialty Care Llc, Ivyrehab Sept, Llc and her current practice location is 3640 High St, Suite 2a, Portsmouth, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 397-6930.

Theresa G Jackson is licensed to practice in Virginia (license number 0101050002) 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 1245239227.

Contact Information

	Theresa G Jackson, MD
	3640 High St, Suite 2a, Portsmouth, VA 23707-3213
	(757) 397-6930
	(757) 397-4864

Map and Direction

Physician's Profile

Full Name	Theresa G Jackson
Gender	Female
Speciality	Physical Medicine And Rehabilitation
Experience	35 Years
Location	3640 High St, Portsmouth, Virginia
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:

Theresa G Jackson attended and graduated from Eastern Virginia Medical School in 1989

NPI Data:

NPI Number: 1245239227
Provider Enumeration Date: 07/20/2005
Last Update Date: 07/10/2013

Medicare PECOS Information:

PECOS PAC ID: 3779642368
Enrollment ID: I20081112000066

Medical Identifiers

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

Identifier	Type	State	Issuer
1245239227	NPI	-	NPPES
005602785	Medicaid	VA
080007399	Other	VA	MEDICARE INDIVIDUAL PROVIDER ID
P00799688	Other	VA	RR MEICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	0101050002 (Virginia)	Secondary
208100000X	Physical Medicine & Rehabilitation	0101050002 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bon Secours Maryview Medical Center	Portsmouth, VA	Hospital
Sentara Obici Hospital	Suffolk, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bon Secours Medical Group Hampton Roads Specialty Care Llc	3173955671	165
Ivyrehab Sept, Llc	7911990908	1137

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. Theresa G Jackson allows following entities to bill medicare on her behalf.

Entity Name	Bon Secours Medical Group Hampton Roads Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629637475 PECOS PAC ID: 3173955671 Enrollment ID: O20191122000258

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. Theresa G 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
Theresa G Jackson, MD 3640 High St, Suite 2a, Portsmouth, VA 23707-3213 Ph: (757) 397-6930	Theresa G Jackson, MD 3640 High St, Suite 2a, Portsmouth, VA 23707-3213 Ph: (757) 397-6930

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Portsmouth, VA

Mrs. Joan L Redd, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3636 High St, Portsmouth, VA 23707 Phone: 757-398-4160 Fax: 757-398-7312
Ivan D Hinnant, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Navy Medical Center, Portsmouth, VA 23708 Phone: 757-953-1416
David Daniel Alcantara, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1040 University Blvd, Mast One Suite 200, Portsmouth, VA 23703 Phone: 757-397-6930 Fax: 757-393-4864
Anna-christina Bevelaqua, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1040 University Blvd Ste 200, Portsmouth, VA 23703 Phone: 757-397-6930 Fax: 757-393-4864
Reeta M Arora, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3640 High St, Ste 2a, Portsmouth, VA 23707 Phone: 757-397-6930 Fax: 757-397-4864

Theresa G Jackson, MD - Medicare Physical Medicine And Rehabilitation in Portsmouth, VA