Cory David Jackson, FNP-BC - Medicare Nurse Practitioner in Huntington, WV

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Cory David Jackson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Huntington, West Virginia. He graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice St Marys Hospitalist Services Llc and his current practice location is 1340 Hal Greer Blvd, Huntington, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 399-6727.

Cory David Jackson is licensed to practice in West Virginia (license number 96293) 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 1194340687.

Contact Information

Cory David Jackson, FNP-BC
1340 Hal Greer Blvd,
Huntington, WV 25701-3804
(304) 399-6727
(304) 399-6726

Map and Direction




Provider's Profile

Full NameCory David Jackson
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location1340 Hal Greer Blvd, Huntington, West Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Cory David Jackson graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1194340687
  • Provider Enumeration Date: 06/10/2020
  • Last Update Date: 05/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1759706120
  • Enrollment ID: I20211007002207

Medical Identifiers

Medical identifiers for Cory David Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194340687NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 96293 (West Virginia)Primary
163WE0003XRegistered Nurse - Emergency 96293 (West Virginia)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Marys Hospitalist Services Llc206255276336

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. Cory David Jackson allows following entities to bill medicare on his behalf.
Entity NameMedexpress Urgent Care Inc West Virginia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912133315
PECOS PAC ID: 1254487101
Enrollment ID: O20090918000219
Entity NameSt Marys Hospitalist Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942432687
PECOS PAC ID: 2062552763
Enrollment ID: O20091210000233
Entity NameThs Physician Partners Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871866806
PECOS PAC ID: 9537316393
Enrollment ID: O20120829000738
Entity NameAllied West Virginia Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487109104
PECOS PAC ID: 8325326648
Enrollment ID: O20161020001514
Entity NameRacine Observation Medical Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588196851
PECOS PAC ID: 1254601578
Enrollment ID: O20170719003225

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. Cory David 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
Cory David Jackson, FNP-BC
5507 Shawnee Dr,
Huntington, WV 25705-3305

Ph: (304) 690-0320		Cory David Jackson, FNP-BC
1340 Hal Greer Blvd,
Huntington, WV 25701-3804

Ph: (304) 399-6727

Reviews and Comments


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Ms. Patricia S Wright, FNP
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Phone: 304-529-0483    Fax: 304-781-2687

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.