Ms Jackie Dixon, CRNP is a medicare enrolled "Nurse Practitioner" physician in Pine Apple, Alabama. Her current practice location is
867 County Road 59, Pine Apple, Alabama. You can reach out to her office (for appointments etc.) via phone at
(251) 746-2197.
Ms Jackie Dixon is licensed to practice in Alabama (license number 1-083022) 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 1831614452.
Physician's Profile
| Full Name | Ms Jackie Dixon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 867 County Road 59, Pine Apple, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1831614452
- Provider Enumeration Date: 08/04/2017
- Last Update Date: 05/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 6608133467
- Enrollment ID: I20171204000104
Medical Identifiers
Medical identifiers for Ms Jackie Dixon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831614452 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | F08170117 (Alabama) | Secondary |
| 363L00000X | Nurse Practitioner | 1-083022 (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. Ms Jackie Dixon allows following entities to bill medicare on her behalf.
| Entity Name | American Family Care, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669429080
PECOS PAC ID: 9739087818
Enrollment ID: O20031229000157 |
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| Entity Name | Rural Health Medical Program, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437238151
PECOS PAC ID: 0143219196
Enrollment ID: O20040506001178 |
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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. Ms Jackie Dixon 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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Ms Jackie Dixon, CRNP
213 Ruth St,
Selma, AL 36701-6056
Ph: (334) 412-6517 | Ms Jackie Dixon, CRNP
867 County Road 59,
Pine Apple, AL 36768-3525
Ph: (251) 746-2197 |
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