Jeffrey B Jackson (NPI# 1780611590, PAC ID# 9335186444) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1780611590 |
PAC ID by PECOS | 9335186444 |
Professional Enrollment ID | I20050411000797 |
Full Name | Jeffrey B Jackson |
Organization Legal Name | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
Address |
100 Seneca Rd Elkins WV 26241-9709 |
Phone Number | 3046372777 |
Gender | M |
Credential | MD |
Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1989 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 9335046754 |
Number of Group Practice Members | 23 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
510030 | DAVIS MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
100 Seneca Rd, Elkins, WV 26241-9709 | 3046372777 | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
165 Scott Ave, Morgantown, WV 26508-8839 | 3045540400 | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 74% | |
MIPS_EC_138_overall | Melanoma: Coordination of Care | 65% | |
MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
MIPS_EC_265_overall | Biopsy Follow-Up | 74% | |
MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 83% |
Organization Legal Name | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
Physicians | 23 |
Name | Specialty | Organization | Address |
---|---|---|---|
Heather Lynn Booth | Physician Assistant | Mountain State Medical Specialties, Pllc | 802 Wayne St, Suite 100, Marietta, OH 45750-3373 |
Alisha L Varner | Physician Assistant | Mountain State Medical Specialties, Pllc | 204 Mary Higginson Ln, Uniontown, PA 15401-2657 |
Isha Woofter | Family Medicine | Mountain State Medical Specialties, Pllc | 76 16th St, Suite 100a, Wheeling, WV 26003-3660 |
Dominick Ryan Woofter | Family Medicine | Mountain State Medical Specialties, Pllc | 1664 E Pike St, Clarksburg, WV 26301-6011 |
Kristin B Smucker | Physician Assistant | Mountain State Medical Specialties, Pllc | 165 Scott Ave, Morgantown, WV 26508-8839 |
Sharifeh Farasat | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
John G Hancox | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
William Thomas Corder | Allergy/immunology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
Charles Bradley Franz | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
Nicole A Koci | Physician Assistant | Mountain State Medical Specialties, Pllc | 204 Mary Higginson Ln, Uniontown, PA 15401-2657 |
Street Address |
100 SENECA RD |
City | ELKINS |
State | WV |
Zip | 26241-9709 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kevin Robert Lambert | Optometry | Randolph County Eye Care Center PC | 219 /250 Rr, Elkins, WV 26241 |
Jenna Gongola | Optometry | Randolph County Eye Care Center PC | 219 /250 Rr, Elkins, WV 26241 |
David Facello | Family Practice | Davis Memorial Hospital | 911 Gorman Ave, Suite 301and304, Elkins, WV 26241-3082 |
David Currence | Family Medicine | 909 Gorman Ave, Suite 4, Elkins, WV 26241-3100 | |
Richard E Piccirillo | Internal Medicine | 909 Gorman Ave, Suite 6, Elkins, WV 26241-3100 | |
David C Tingler | Cardiovascular Disease (cardiology) | West Virginia University Medical Corporation | 903 Gorman Ave, Elkins, WV 26241-3149 |
Ashlee Kristine Okernick | Physician Assistant | West Virginia University Medical Corporation | 903 Gorman Ave, Elkins, WV 26241-3149 |
Janel Christine Trovato-vass | Nurse Practitioner | West Virginia University Medical Corporation | 903 Gorman Ave, Elkins, WV 26241-3149 |
Jessica Ann Wood | Nurse Practitioner | United Hospital Center Inc | 903 Gorman Ave, Elkins, WV 26241-3149 |
Ashley M Nestor | Physician Assistant | West Virginia University Medical Corporation | 903 Gorman Ave, Elkins, WV 26241-3149 |
Find all physicians in zip 26241 |
City | ELKINS |
Zip Code | 26241 |
Specialty | DERMATOLOGY |
City + Specialty | ELKINS + DERMATOLOGY |
Please comment or provide details below to improve the information on Jeffrey B Jackson.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.