Wayne Jeffery Jackson, PA - Medicare Physician Assistant in Potsdam, NY

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Wayne Jeffery Jackson, PA is a medicare enrolled "Physician Assistant - Medical" in Potsdam, New York. His current practice location is 50 Leroy St, Potsdam, New York. You can reach out to his office (for appointments etc.) via phone at (315) 265-3300.

Wayne Jeffery Jackson is licensed to practice in New York (license number 004496) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750387023.

Contact Information

Wayne Jeffery Jackson, PA
50 Leroy St,
Potsdam, NY 13676-1786
(315) 265-3300
Not Available

Map and Direction




Provider's Profile

Full NameWayne Jeffery Jackson
GenderMale
SpecialityPhysician Assistant - Medical
Location50 Leroy St, Potsdam, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750387023
  • Provider Enumeration Date: 06/22/2005
  • Last Update Date: 03/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8224049374
  • Enrollment ID: I20060606000055

Medical Identifiers

Medical identifiers for Wayne Jeffery Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750387023NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 004496 (New York)Primary

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. Wayne Jeffery Jackson allows following entities to bill medicare on his behalf.
Entity NameCanton-potsdam Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568548782
PECOS PAC ID: 6204827280
Enrollment ID: O20040519000761
Entity NameRiver Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003814641
PECOS PAC ID: 2567372899
Enrollment ID: O20040614001352
Entity NameEmergency Physician Services of New York, P.C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093759847
PECOS PAC ID: 8325939804
Enrollment ID: O20041001000684
Entity NameDelphi Hospitalist Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922270420
PECOS PAC ID: 5395819478
Enrollment ID: O20080807000352
Entity NameDelphi Healthcare PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003075029
PECOS PAC ID: 9537229661
Enrollment ID: O20081119000839
Entity NameGouverneur Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1629409925
PECOS PAC ID: 9931336724
Enrollment ID: O20131227000636
Entity NameGouverneur Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295156412
PECOS PAC ID: 9931336724
Enrollment ID: O20140911000087

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. Wayne Jeffery 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
Wayne Jeffery Jackson, PA
50 Leroy St,
Potsdam, NY 13676-1786

Ph: (315) 265-3300		Wayne Jeffery Jackson, PA
50 Leroy St,
Potsdam, NY 13676-1786

Ph: (315) 265-3300

Reviews and Comments


Physician Assistant Nurses in Potsdam, NY

Heather Mackinnon,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 50 Leroy St, Potsdam, NY 13676
Phone: 315-265-3300    
Bernadette Avila,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 49 Lawrence Ave, Potsdam, NY 13676
Phone: 315-261-5550    
An Tulloch, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 12 Elm St, Potsdam, NY 13676
Phone: 315-261-5420    
Christina Kashmer, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 50 Leroy St, Potsdam, NY 13676
Phone: 315-265-3300    
Luke Alexander Gillis, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 50 Leroy St, Potsdam, NY 13676
Phone: 315-265-3300    
Abrinel Marie Seeger, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 8 Clarkson Ave, Potsdam, NY 13669
Phone: 315-268-6400    
Matthew Cheevers, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 50 Leroy St, Potsdam, NY 13676
Phone: 315-265-3300    

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.