Cerra Jordan Jackson, CRNP is a medicare enrolled "Nurse Practitioner - Primary Care" physician in Athens, Alabama. Her current practice location is
22335 Us Highway 72 Ste C, Athens, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 870-4111.
Cerra Jordan Jackson is licensed to practice in Alabama (license number 1-143406) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316585219.
Physician's Profile
| Full Name | Cerra Jordan Jackson |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Primary Care |
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| Location | 22335 Us Highway 72 Ste C, Athens, Alabama |
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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: 1316585219
- Provider Enumeration Date: 12/11/2019
- Last Update Date: 11/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 9335561471
- Enrollment ID: I20210917001785
Medical Identifiers
Medical identifiers for Cerra Jordan Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1316585219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 1-143406 (Alabama) | Secondary |
| 364SF0001X | Clinical Nurse Specialist - Family Health | 1-143406 (Alabama) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 1-143406 (Alabama) | 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. Cerra Jordan Jackson allows following entities to bill medicare on her behalf.
| Entity Name | Tuscaloosa Integrative Family Medicine, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629331681 PECOS PAC ID: 8921243577 Enrollment ID: O20130402000124 |
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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. Cerra Jordan Jackson 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 |
Cerra Jordan Jackson, CRNP 22335 Us Highway 72 Ste C, Athens, AL 35613-2611 Ph: (256) 870-4111 | Cerra Jordan Jackson, CRNP 22335 Us Highway 72 Ste C, Athens, AL 35613-2611 Ph: (256) 870-4111 |
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