Amelia Dee Jackson, NP-C in Gravette, AR - Medicare Nurse Practitioner

Amelia Dee Jackson, NP-C is a medicare enrolled "Nurse Practitioner" in Gravette, Arkansas. Her current practice location is 1101 Jackson St Sw, Gravette, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 787-5221.

Amelia Dee Jackson is licensed to practice in Arkansas (license number A004287) 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 1093105918.

Contact Information

	Amelia Dee Jackson, NP-C
	1101 Jackson St Sw, Gravette, AR 72736-9121
	(479) 787-5221
	(479) 787-9692

Map and Direction

Provider's Profile

Full Name	Amelia Dee Jackson
Gender	Female
Speciality	Nurse Practitioner
Location	1101 Jackson St Sw, Gravette, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093105918
Provider Enumeration Date: 01/30/2015
Last Update Date: 10/13/2023

Medicare PECOS Information:

PECOS PAC ID: 4486970183
Enrollment ID: I20150223001527

Medical Identifiers

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

Identifier	Type	State	Issuer
1093105918	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	A004287 (Arkansas)	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. Amelia Dee Jackson allows following entities to bill medicare on her behalf.

Entity Name	Sgoh Acquisition Inc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20081016000559

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. Amelia Dee 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
Amelia Dee Jackson, NP-C 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5221	Amelia Dee Jackson, NP-C 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5221

Reviews and Comments

Nurse Practitioner Nurses in Gravette, AR

Gregory Scott Forrester, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-344-6870 Fax: 479-344-6865
Tamra T Lamer, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-1060
Ms. Melody A Walls, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613
Sonrisa Holmes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5291 Fax: 479-344-6404
Ashlea Nicole Ritter, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5291 Fax: 479-344-6404
Mrs. Tracy Leigh Lowry, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613

Amelia Dee Jackson, NP-C - Medicare Nurse Practitioner in Gravette, AR