Anthony W Jackson Sr, MD - Medicare Otolaryngology in Elizabeth City, NC

Anthony W Jackson Sr, MD is a medicare enrolled "Otolaryngology" physician in Elizabeth City, North Carolina. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Outer Banks Professional Services, Llc and his current practice location is 105 Medical Dr, Elizabeth City, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 337-7409.

Anthony W Jackson Sr is licensed to practice in North Carolina (license number 2007-00605) 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 1700987062.

Contact Information

Anthony W Jackson Sr, MD
105 Medical Dr,
Elizabeth City, NC 27909-3361
(252) 337-7409
(252) 337-7410



Physician's Profile

Full NameAnthony W Jackson Sr
GenderMale
SpecialityOtolaryngology
Experience42 Years
Location105 Medical Dr, Elizabeth City, North Carolina
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:
  • Anthony W Jackson Sr graduated from medical school in 1982
  NPI Data:
  • NPI Number: 1700987062
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 01/07/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8527156819
  • Enrollment ID: I20071120000639

Medical Identifiers

Medical identifiers for Anthony W Jackson Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700987062NPI-NPPES
14516OtherNCBCBSNC
5906945MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 2007-00605 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Outer Banks Hospital, IncNags head, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Outer Banks Professional Services, Llc317365209680

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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. Anthony W Jackson Sr allows following entities to bill medicare on his behalf.
Entity NameOuter Banks Professional Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891050357
PECOS PAC ID: 3173652096
Enrollment ID: O20100602000156

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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. Anthony W Jackson Sr 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
Anthony W Jackson Sr, MD
105 Medical Dr,
Elizabeth City, NC 27909-3361

Ph: (252) 337-7409
Anthony W Jackson Sr, MD
105 Medical Dr,
Elizabeth City, NC 27909-3361

Ph: (252) 337-7409

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Visitors to 2 popular parks in South London are at risk of coming into contact with ticks that can transmit Lyme disease to humans, according to a new study in Medical and Veterinary Entomology.

UNITAID has raised $2B through airline tax since 2006, could be model for G20 development funding, UNITAID chair says

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Otolaryngology Doctors in Elizabeth City, NC

Dr. Casey Guy Nekl, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1134 N Road St Ste 2, Elizabeth City, NC 27909
Phone: 252-384-2770    Fax: 252-679-7673
John Brian Thomas Wood, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 1141 North Road Street, Ste K, Elizabeth City, NC 27909
Phone: 252-331-7600    Fax: 252-331-7730

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