Bartholomew Eric Jackson Sr, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Slidell, Louisiana. His current practice location is
7861 Camellia Bud Ct, Slidell, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(315) 281-6945.
Bartholomew Eric Jackson Sr is licensed to practice in Louisiana (license number 220378) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962116905.
Physician's Profile
Full Name | Bartholomew Eric Jackson Sr |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 7861 Camellia Bud Ct, Slidell, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962116905
- Provider Enumeration Date: 01/12/2023
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052785789
- Enrollment ID: I20230321001400
Medical Identifiers
Medical identifiers for Bartholomew Eric Jackson Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962116905 | NPI | - | NPPES |
220378 | Other | LA | PSYCHIATRY |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 220378 (Louisiana) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 220378 (Louisiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bartholomew Eric Jackson Sr allows following entities to bill medicare on his behalf.
Entity Name | Ochsner Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bartholomew Eric Jackson Sr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bartholomew Eric Jackson Sr, NURSE PRACTITIONER 7861 Camellia Bud Ct, Slidell, LA 70461-6648 Ph: (315) 281-6945 | Bartholomew Eric Jackson Sr, NURSE PRACTITIONER 7861 Camellia Bud Ct, Slidell, LA 70461-6648 Ph: (315) 281-6945 |
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