Katrina A Jackson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Little Rock, Arkansas. She graduated from medical school in 1989 and has 36 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Arkansas Health Group and her current practice location is
500 S. University, Suite 505, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 664-4532.
Katrina A Jackson is licensed to practice in Arkansas (license number C00815) 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 1144318296.
Physician's Profile
| Full Name | Katrina A Jackson |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 36 Years |
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| Location | 500 S. University, Little Rock, Arkansas |
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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:
- Katrina A Jackson graduated from medical school in 1989
NPI Data:
- NPI Number: 1144318296
- Provider Enumeration Date: 10/11/2006
- Last Update Date: 03/02/2010
Medicare PECOS Information:
- PECOS PAC ID: 4587708714
- Enrollment ID: I20100225000448
Medical Identifiers
Medical identifiers for Katrina A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144318296 | NPI | - | NPPES |
| 5S440 | Other | AR | AR BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | C00815 (Arkansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | C00815 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Arkansas Health Group | 7911802079 | 517 |
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. Katrina A Jackson allows following entities to bill medicare on her behalf.
| Entity Name | Arkansas Health Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508800962
PECOS PAC ID: 7911802079
Enrollment ID: O20040331000754 |
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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. Katrina A 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 |
|---|
Katrina A Jackson, CRNA
500 S. University, Suite 505,
Little Rock, AR 72205-5307
Ph: (501) 664-4532 | Katrina A Jackson, CRNA
500 S. University, Suite 505,
Little Rock, AR 72205-5307
Ph: (501) 664-4532 |
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