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Keith Jackson MD in Staten Island, New York

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Keith Jackson MD has Dermatology as his primary medical specialty. Their primary office is: 11 Ralph Pl in Staten Island, New York. They attended State University Of New York Downstate Medical Center and graduated in 1997 (around 27 years of experience). They are listed as doing telehealth appointments.


Keith R Jackson MD Office Phone and Directions

Keith Jackson MD
11 Ralph Pl
Staten Island, New York 10304
718-727-1331


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Phone: 718-727-1331


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Healthcare Info for Keith Jackson MD

Medical School: State University Of New York Downstate Medical Center
Graduation Year: 1997
The Primary Medical Specialty for Keith Jackson MD is listed as: Dermatology
Credentials: MD
Additional Credentials:
Approximate Years of Experience: 27
PAC (PECOS ID)#: 3779536057
NPI #: 1124116041
NPI Created On: 10/10/2006
NPI Last Updated Listed as: 05/28/2013
Primary Taxonomy Code: 207N00000X
License Number:
212165
Listed Gender: Male

Insurance, Services, Charges


Forms of insurance accepted by include, but are not limited to:

  • Humana

They are listed as accepting new patients.

Languages spoken by staff include: English.


Services and Procedures include:

  1. Acne surgery
  2. Drainage of abscess
  3. Tangential biopsy of single skin lesion
  4. Tangential biopsy of additional skin lesion
  5. Incisional biopsy of single skin lesion
  6. Injection of up to 7 skin growths
  7. Destruction of skin growth
  8. Destruction of 2-14 skin growths
  9. Destruction of 15 or more skin growths
  10. Destruction of up to 14 skin growths
  11. Destruction of 15 or more skin growths
  12. Destruction of malignant growth (2.1 to 3.0 centimeters) of trunk, arms, or legs
  13. New patient office or other outpatient visit, typically 30 minutes
  14. Established patient office or other outpatient visit, typically 15 minutes
  15. Established patient office or other outpatient, visit typically 25 minutes
  16. Injection, triamcinolone acetonide, not otherwise specified, 10 mg

They took part in Medicare's Electronic Health Record Incentive Program which was designed to help move people over to electronic records and improve the systems that were already in place.
They took part in the Medicare Physician Quality Reporting System (PQRS).

Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.


Payments Total: $20

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 787329171

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Rhinology Otology

Name of Drug #1: Acclarent Aera


Payments Total: $20

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 818591161

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Immunology

Name of Drug #1: TALTZ

Open Associated Drug #1: 0002-1445-11


Payments Total: $18

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 818618393

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Immunology

Name of Drug #1: TALTZ

Open Associated Drug #1: 0002-1445-11


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Clark Dermatology Llc

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