| Amanda J Jackson, APRN | |
|
2811 Holmans Ln, Jeffersonville, IN 47130-5915 | |
| (502) 446-5555 | |
| (502) 394-3674 |
| Full Name | Amanda J Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 2811 Holmans Ln, Jeffersonville, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922561653 | NPI | - | NPPES |
| 7100604600 | Medicaid | KY | |
| 300027709 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71009089A (Indiana) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 3013285 (Kentucky) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Medical Associates Inc | 7012811284 | 1179 |
| Community Medical Associates Inc | 7012811284 | 1179 |
| Entity Name | Community Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
| Entity Name | Louisville Geriatric Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871508614 PECOS PAC ID: 1557380086 Enrollment ID: O20051115000042 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda J Jackson, APRN Po Box 776351, Chicago, IL 60677-6351 Ph: (025) 889-4905 | Amanda J Jackson, APRN 2811 Holmans Ln, Jeffersonville, IN 47130-5915 Ph: (502) 446-5555 |
Lauren Nicole Helton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Hospital Blvd, Jeffersonville, IN 47130 Phone: 812-282-3899 Fax: 812-282-4172 | |
Elissa Vaughn, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1036 Sharon Dr, Jeffersonville, IN 47130 Phone: 812-280-6606 | |
Brandy Michelle Cook, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1701 Spring St Ste B, Jeffersonville, IN 47130 Phone: 812-284-2273 | |
Sara Bennett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Noahs Ln Bldg 215, Jeffersonville, IN 47130 Phone: 812-284-1760 Fax: 812-282-4316 | |
Virginia L Nisbet, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 443 Spring St Ste 200, Jeffersonville, IN 47130 Phone: 812-288-8360 Fax: 812-288-8375 | |
Amy Irene Surber, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Clinic #3975, 1002 Spring Street, Jeffersonville, IN 47130 Phone: 812-282-2256 | |
Bradford Nathanial Whitehead, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1036 Sharon Dr, Jeffersonville, IN 47130 Phone: 812-280-2080 |