SUSAN M. JACKSON D.O. – NPI #1780749671
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

SUSAN JACKSON is a physician located in HALLSTEAD, PA. NPPES has assigned the NPI number 1780749671 to SUSAN JACKSON on December 22, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 13 years ago on May 08, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUSAN JACKSON below.

NPI Profile for
SUSAN M. JACKSON

NPI Number
1780749671
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SUSAN M. JACKSON
Credentials
D.O.
Primary location
25066 SR 11
HALLSTEAD, PA 18822
Phone: (570) 879-5249 Fax: (570) 879-2418
Mailing address
25054 SR 11
HALLSTEAD, PA 18822
Phone: (570) 879-6870 Fax: (570) 879-6861
Sole Proprietor
No
Updated
Identifiers

Identifiers for SUSAN JACKSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY02903533
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 MO 2000163890

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS - Graduated 1997
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SUSAN JACKSON is affiliated with the following medical group(s):
  • HOSPITAL
    • OUR LADY OF LOURDES MEMORIAL HOSPITAL
      169 RIVERSIDE DRIVE
      BINGHAMTON, NY 13905
    • UNITED HEALTH SERVICES HOSPITALS, INC
      10-42 MITCHELL AVENUE
      BINGHAMTON, NY 13903
  • HOME HEALTH AGENCY
    • LOURDES AT HOME CHHA
      4102 OLD VESTAL ROAD
      VESTAL, NY 13850

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If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

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