Alisia Jackson, APRN - Medicare Nurse Practitioner in Louisville, KY

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Alisia Jackson, APRN is a medicare enrolled "Nurse Practitioner - Family" in Louisville, Kentucky. Her current practice location is 9204 Taylorsville Rd Ste 217, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 709-0430.

Alisia Jackson is licensed to practice in Kentucky (license number 3013490) 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 1104436146.

Contact Information

Alisia Jackson, APRN
9204 Taylorsville Rd Ste 217,
Louisville, KY 40299-1789
(502) 709-0430
Not Available

Map and Direction




Provider's Profile

Full NameAlisia Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location9204 Taylorsville Rd Ste 217, Louisville, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104436146
  • Provider Enumeration Date: 08/04/2020
  • Last Update Date: 11/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294140802
  • Enrollment ID: I20210211003499

Medical Identifiers

Medical identifiers for Alisia Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104436146NPI-NPPES
7100720690MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71011085A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 3013490 (Kentucky)Primary
363L00000XNurse Practitioner 3013490 (Kentucky)Secondary

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. Alisia Jackson allows following entities to bill medicare on her behalf.
Entity NameGim Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326411026
PECOS PAC ID: 5294036521
Enrollment ID: O20151210001753

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. Alisia 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 AddressPractice Location Address
Alisia Jackson, APRN
16605 Chestnut Glen Pl,
Louisville, KY 40245-6121

Ph: (502) 709-0430		Alisia Jackson, APRN
9204 Taylorsville Rd Ste 217,
Louisville, KY 40299-1789

Ph: (502) 709-0430

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.