Johnna Michelle Jackson, DO - Medicare General Surgery in South Charleston, WV

Johnna Michelle Jackson, DO is a medicare enrolled "Surgery" physician in South Charleston, West Virginia. She went to West Virginia School Of Osteopathic Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Ths Physician Partners Inc and her current practice location is 500 Poplar St, Suite 304, South Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 767-7770.

Johnna Michelle Jackson is licensed to practice in West Virginia (license number 1998) 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 1255537999.

Contact Information

Johnna Michelle Jackson, DO
500 Poplar St, Suite 304,
South Charleston, WV 25309-1474
(304) 767-7770
(304) 767-7779



Physician's Profile

Full NameJohnna Michelle Jackson
GenderFemale
SpecialityGeneral Surgery
Experience22 Years
Location500 Poplar St, South Charleston, West Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Johnna Michelle Jackson attended and graduated from West Virginia School Of Osteopathic Medicine in 2002
  NPI Data:
  • NPI Number: 1255537999
  • Provider Enumeration Date: 06/21/2007
  • Last Update Date: 12/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7517032840
  • Enrollment ID: I20080820000453

Medical Identifiers

Medical identifiers for Johnna Michelle Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255537999NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 1998 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thomas Memorial HospitalSouth charleston, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ths Physician Partners Inc9537316393135

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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. Johnna Michelle Jackson allows following entities to bill medicare on her behalf.
Entity NameThs Physician Partners Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871866806
PECOS PAC ID: 9537316393
Enrollment ID: O20120829000738

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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. Johnna Michelle 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
Johnna Michelle Jackson, DO
4605 Maccorkle Ave Sw, Ths Physician Partners, Inc-admin Office,
South Charleston, WV 25309-1311

Ph: (304) 414-4800
Johnna Michelle Jackson, DO
500 Poplar St, Suite 304,
South Charleston, WV 25309-1474

Ph: (304) 767-7770

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Surgery Doctors in South Charleston, WV

Michael M Boustany, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 434 Division St, South Charleston, WV 25309
Phone: 304-766-7140    Fax: 304-766-7180
Ahmad Bali, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 401 Division St, Suite 202, South Charleston, WV 25309
Phone: 304-767-7800    Fax: 304-767-7805
Kristen Price Eads, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 500 Poplar St, Suite 304, South Charleston, WV 25309
Phone: 304-767-7770    Fax: 304-767-7779

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