Cerra Jordan Jackson, CRNP is a medicare enrolled "Nurse Practitioner - Primary Care" physician in Northport, Alabama. She went to University Of South Alabama College Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tuscaloosa Integrative Family Medicine, Llc and her current practice location is
5710 Watermelon Road, Suite 600, Northport, Alabama. You can reach out to her office (for appointments etc.) via phone at
() -.
Cerra Jordan Jackson is licensed to practice in Alabama (license number 1-143406) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 |
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| Experience | 5 Years |
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| Location | 5710 Watermelon Road, Suite 600, Northport, Alabama |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Cerra Jordan Jackson attended and graduated from University Of South Alabama College Of Medicine in 2019
NPI Data:
- NPI Number: 1316585219
- Provider Enumeration Date: 12/11/2019
- Last Update Date: 05/21/2021
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 |
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| 1316585219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Tuscaloosa Integrative Family Medicine, Llc | 8921243577 | 4 |
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 |
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Cerra Jordan Jackson, CRNP
5710 Watermelon Road Suite 600,
Northport, AL 35473
Ph: (205) 345-6272 | Cerra Jordan Jackson, CRNP
5710 Watermelon Road, Suite 600,
Northport, AL 35473
Ph: () - |
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