MR. ALFRED B III JACKSON (PA-C, MBA) – Surgical Physician Assistant, NPI 1417078908

MR. ALFRED B III JACKSON (PA-C, MBA) is a healthcare provider. based in Wilmington, Delaware. specializing in Surgical Physician Assistant. They hold the professional credentials PA-C, MBA. They hold a License No. C5-0000216 (DE). The NPI Number for MR. ALFRED B III JACKSON (PA-C, MBA) is 1417078908

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
MR. ALFRED B III JACKSON (PA-C, MBA)
NPI
1417078908
Phone
(302) 428-4654
Address
501 W 14TH ST
Enumeration Date
2 April 2007
Last Update Date
6 April 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4436433020
Graduation Year
1993 (33 years ago)
PAC ID
8527196518
Group Practice PAC ID
8729181805
Professional Enrollment ID
I20151112001779
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MR. ALFRED B III JACKSON (PA-C, MBA)

  • 501 W 14TH ST

    SUITE 4154

    WILMINGTON, DE 198011013

    Phone: (302) 428-4654

    Type: Location

  • 797 SLATE HILL DR

    OXFORD, PA 193631833

    Phone: (610) 932-7007

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19801)

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Provider's Procedures

MR. ALFRED B III JACKSON (PA-C, MBA) performs procedures in Surgical Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTDE27447Repair of knee joint3329

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729181805View full group profile
NameSpecialtyState
Physician AssistantMD
General SurgeryPA
Physician AssistantDE
Occupational Therapist In Private PracticePA
General SurgeryMD
Plastic And Reconstructive Surgery, Orthopedic SurgeryMD
Physician AssistantMD
Physician AssistantMD
Occupational Therapist In Private PracticeMD
General Surgery, Colorectal Surgery (Proctology)GA

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Frequently asked questions

What unique ID ties claims to MR. ALFRED B III JACKSON (PA-C, MBA)?
NPI 1417078908 is assigned to MR. ALFRED B III JACKSON (PA-C, MBA) under the national enumeration system.
Is MR. ALFRED B III JACKSON (PA-C, MBA) active in the national directory?
MR. ALFRED B III JACKSON (PA-C, MBA)'s public NPI profile is in an active state.
What does MR. ALFRED B III JACKSON (PA-C, MBA) treat or focus on?
Patients typically see MR. ALFRED B III JACKSON (PA-C, MBA) under the specialty Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. ALFRED B III JACKSON (PA-C, MBA)?
The page summarizes Wilmington, Delaware for MR. ALFRED B III JACKSON (PA-C, MBA); expand the address list for detail.
What if Wilmington, Delaware seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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