Jeffrey B Jackson
MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC


Address: 100 Seneca Rd, Elkins, WV 26241-9709
Phone: 3046372777

Jeffrey B Jackson (NPI# 1780611590, PAC ID# 9335186444) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
510030 DAVIS MEDICAL CENTER

Other Locations

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

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

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 Information

Organization Legal Name MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC
Physicians 23

Physicians with the same organization

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

Office Location

Street Address 100 SENECA RD
City ELKINS
State WV
Zip 26241-9709

Physicians in the same zip code

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

Competitor

Search similar physicians

City ELKINS
Zip Code 26241
Specialty DERMATOLOGY
City + Specialty ELKINS + DERMATOLOGY

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Dataset Information

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.

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