Dr Jeffrey Burke Jackson, MD - Medicare Dermatology in Elkins, WV

Dr Jeffrey Burke Jackson, MD is a medicare enrolled "Dermatology - Dermatopathology" physician in Elkins, West Virginia. He went to West Virginia University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Mountain State Medical Specialties Pllc and his current practice location is 100 Seneca Rd, Elkins, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 637-2777.

Dr Jeffrey Burke Jackson is licensed to practice in West Virginia (license number 16375) 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 1780611590.

Contact Information

Dr Jeffrey Burke Jackson, MD
100 Seneca Rd,
Elkins, WV 26241-9709
(304) 637-2777
(304) 636-8825



Physician's Profile

Full NameDr Jeffrey Burke Jackson
GenderMale
SpecialityDermatology
Experience35 Years
Location100 Seneca Rd, Elkins, 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:
  • Dr Jeffrey Burke Jackson attended and graduated from West Virginia University School Of Medicine in 1989
  NPI Data:
  • NPI Number: 1780611590
  • Provider Enumeration Date: 06/27/2006
  • Last Update Date: 01/23/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9335186444
  • Enrollment ID: I20050411000797

Medical Identifiers

Medical identifiers for Dr Jeffrey Burke Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780611590NPI-NPPES
0074811000MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0900XDermatology - Dermatopathology 16375 (West Virginia)Primary
207N00000XDermatology 16375 (West Virginia)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mountain State Medical Specialties Pllc933504675432

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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. Dr Jeffrey Burke Jackson allows following entities to bill medicare on his behalf.
Entity NameMountain State Medical Specialties Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891892097
PECOS PAC ID: 9335046754
Enrollment ID: O20040308000599

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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. Dr Jeffrey Burke 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
Dr Jeffrey Burke Jackson, MD
125 N 6th St,
Clarksburg, WV 26301-2665

Ph: (304) 624-7200
Dr Jeffrey Burke Jackson, MD
100 Seneca Rd,
Elkins, WV 26241-9709

Ph: (304) 637-2777

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› Verified 1 days ago


Dermatology Doctors in Elkins, WV


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