Theresa G Jackson, MD - Medicare Physical Medicine And Rehabilitation in Portsmouth, VA

Theresa G Jackson, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Portsmouth, Virginia. She went to Eastern Virginia Medical School and graduated in 1989 and has 35 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Bon Secours Medical Group Hampton Roads Specialty Care Llc, Ivyrehab Sept, Llc and her current practice location is 3640 High St, Suite 2a, Portsmouth, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 397-6930.

Theresa G Jackson is licensed to practice in Virginia (license number 0101050002) 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 1245239227.

Contact Information

Theresa G Jackson, MD
3640 High St, Suite 2a,
Portsmouth, VA 23707-3213
(757) 397-6930
(757) 397-4864



Physician's Profile

Full NameTheresa G Jackson
GenderFemale
SpecialityPhysical Medicine And Rehabilitation
Experience35 Years
Location3640 High St, Portsmouth, 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:
  • Theresa G Jackson attended and graduated from Eastern Virginia Medical School in 1989
  NPI Data:
  • NPI Number: 1245239227
  • Provider Enumeration Date: 07/20/2005
  • Last Update Date: 07/10/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3779642368
  • Enrollment ID: I20081112000066

Medical Identifiers

Medical identifiers for Theresa G Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245239227NPI-NPPES
005602785MedicaidVA
080007399OtherVAMEDICARE INDIVIDUAL PROVIDER ID
P00799688OtherVARR MEICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101050002 (Virginia)Secondary
208100000XPhysical Medicine & Rehabilitation 0101050002 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bon Secours Maryview Medical CenterPortsmouth, VAHospital
Sentara Obici HospitalSuffolk, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bon Secours Medical Group Hampton Roads Specialty Care Llc3173955671165
Ivyrehab Sept, Llc79119909081137

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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. Theresa G Jackson allows following entities to bill medicare on her behalf.
Entity NameBon Secours Medical Group Hampton Roads Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629637475
PECOS PAC ID: 3173955671
Enrollment ID: O20191122000258

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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. Theresa G 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
Theresa G Jackson, MD
3640 High St, Suite 2a,
Portsmouth, VA 23707-3213

Ph: (757) 397-6930
Theresa G Jackson, MD
3640 High St, Suite 2a,
Portsmouth, VA 23707-3213

Ph: (757) 397-6930

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Physical Medicine & Rehabilitation Doctors in Portsmouth, VA

Mrs. Joan L Redd, MD
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 3636 High St, Portsmouth, VA 23707
Phone: 757-398-4160    Fax: 757-398-7312
Ivan D Hinnant, MD
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Navy Medical Center, Portsmouth, VA 23708
Phone: 757-953-1416    
David Daniel Alcantara, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 1040 University Blvd, Mast One Suite 200, Portsmouth, VA 23703
Phone: 757-397-6930    Fax: 757-393-4864
Anna-christina Bevelaqua, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 1040 University Blvd Ste 200, Portsmouth, VA 23703
Phone: 757-397-6930    Fax: 757-393-4864
Reeta M Arora, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 3640 High St, Ste 2a, Portsmouth, VA 23707
Phone: 757-397-6930    Fax: 757-397-4864

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