Ancelle Jackson, APRN in Bonaire, GA - Medicare Nurse Practitioner

Ancelle Jackson, APRN is a medicare enrolled "Nurse Practitioner - Family" in Bonaire, Georgia. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tlc Of Georgia Llc and her current practice location is 774 Highway 96, Bonaire, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 988-5711.

Ancelle Jackson is licensed to practice in Georgia (license number RN300851) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477027373.

Contact Information

	Ancelle Jackson, APRN
	774 Highway 96, Bonaire, GA 31005-3300
	(478) 988-5711
	Not Available

Map and Direction

Provider's Profile

Full Name	Ancelle Jackson
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	774 Highway 96, Bonaire, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ancelle Jackson graduated from nursing school in 2018

NPI Data:

NPI Number: 1477027373
Provider Enumeration Date: 01/14/2019
Last Update Date: 06/18/2021

Medicare PECOS Information:

PECOS PAC ID: 6901206341
Enrollment ID: I20210607002359

Medical Identifiers

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

Identifier	Type	State	Issuer
1477027373	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	11000926 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	RN300851 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tlc Of Georgia Llc	5496924490	53

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. Ancelle Jackson allows following entities to bill medicare on her behalf.

Entity Name	Tlc Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750677241 PECOS PAC ID: 5496924490 Enrollment ID: O20110809000175

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. Ancelle 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
Ancelle Jackson, APRN 2620 Elm Hill Pike, Nashville, TN 37214-3108 Ph: () -	Ancelle Jackson, APRN 774 Highway 96, Bonaire, GA 31005-3300 Ph: (478) 988-5711

Reviews and Comments

Nurse Practitioner Nurses in Bonaire, GA

Louwana L. Hollar, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 127 Old Highway 96, Suite A, Bonaire, GA 31005 Phone: 478-922-9944
Mrs. Laquita Charle Johnson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Southshore Ct, Bonaire, GA 31005 Phone: 229-712-8884
Ms. Roneseya Bentley Williams, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Moran Dr, Bonaire, GA 31005 Phone: 478-988-1282 Fax: 478-988-3120
Karena Collins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Wildwood Trl, Bonaire, GA 31005 Phone: 479-957-8013
Jessica Ann Smith, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Donna Kay Ct, Bonaire, GA 31005 Phone: 478-220-1707
Mr. Adewale Anthony Oderinde, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 503 Blue Bonnet Trl, Bonaire, GA 31005 Phone: 478-284-6452 Fax: 478-225-6609
Dona Michelle Tuten Ii, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 106 Moran Dr, Bonaire, GA 31005 Phone: 478-988-1282 Fax: 478-988-3120

Ancelle Jackson, APRN - Medicare Nurse Practitioner in Bonaire, GA