Alice Jackson, RN NP in Fresno, CA - Medicare Nurse Practitioner

Alice Jackson, RN NP is a medicare enrolled "Nurse Practitioner" in Fresno, California. Her current practice location is 6121 N Thesta, Suite 303, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (559) 228-5448.

Alice Jackson is licensed to practice in California (license number 358153) 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 1295754109.

Contact Information

	Alice Jackson, RN NP
	6121 N Thesta, Suite 303, Fresno, CA 93710-5294
	(559) 228-5448
	(559) 224-3920

Map and Direction

Provider's Profile

Full Name	Alice Jackson
Gender	Female
Speciality	Nurse Practitioner
Location	6121 N Thesta, Fresno, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295754109
Provider Enumeration Date: 07/19/2006
Last Update Date: 12/14/2007

Medicare PECOS Information:

PECOS PAC ID: 4385688449
Enrollment ID: I20050620000403

Medical Identifiers

Medical identifiers for Alice Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295754109	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	358153 (California)	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. Alice Jackson allows following entities to bill medicare on her behalf.

Entity Name	Community Foundation Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811258510 PECOS PAC ID: 0345406294 Enrollment ID: O20120723000387

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. Alice 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
Alice Jackson, RN NP Po Box 28947, Fresno, CA 93729-8947 Ph: (559) 228-5448	Alice Jackson, RN NP 6121 N Thesta, Suite 303, Fresno, CA 93710-5294 Ph: (559) 228-5448

Reviews and Comments

Nurse Practitioner Nurses in Fresno, CA

Ms. Sheila Orallo Mallory, N. P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1867 E Fir Ave Ste 104, Fresno, CA 93720 Phone: 559-325-5876 Fax: 559-325-5838
Gretchen Nelson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1105 E Spruce Ave Ste 203, Fresno, CA 93720 Phone: 559-450-7272 Fax: 559-450-7276
Marlene Solomon Lim, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5755 E Kings Canyon Rd, Suite 104, Fresno, CA 93727 Phone: 559-255-7777 Fax: 559-454-1091
Ms. Yolanda Mata, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 257 N Dewitt Ave, Fresno, CA 93727 Phone: 559-255-1373
Tamara Carpenter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-499-6440
Shalvi Shaili, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5860 E Byrd Ave, Fresno, CA 93727 Phone: 510-334-9295
Natalie Betancur, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 645 S Minnewawa Ave, Fresno, CA 93727 Phone: 800-492-4227

Alice Jackson, RN NP - Medicare Nurse Practitioner in Fresno, CA