Andrea Rolanda Jackson, PMHNP - Medicare Nurse Practitioner in Evans, GA

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Andrea Rolanda Jackson, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Evans, Georgia. Her current practice location is 1202 Town Park Ln Ste 300, Evans, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 432-6866.

Andrea Rolanda Jackson is licensed to practice in Georgia (license number RN186919) 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 1578232443.

Contact Information

Andrea Rolanda Jackson, PMHNP
1202 Town Park Ln Ste 300,
Evans, GA 30809-3477
(706) 432-6866
Not Available

Map and Direction




Provider's Profile

Full NameAndrea Rolanda Jackson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1202 Town Park Ln Ste 300, Evans, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578232443
  • Provider Enumeration Date: 09/13/2021
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4880052190
  • Enrollment ID: I20230620000057

Medical Identifiers

Medical identifiers for Andrea Rolanda Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578232443NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health RN186919 (Georgia)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. Andrea Rolanda Jackson allows following entities to bill medicare on her behalf.
Entity NamePersonal Recovery Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881990869
PECOS PAC ID: 5092611384
Enrollment ID: O20120110000096
Entity NameInpatient Psychology Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497383152
PECOS PAC ID: 2961825872
Enrollment ID: O20200710002283
Entity NameHealth Providers Of America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316560972
PECOS PAC ID: 9931529948
Enrollment ID: O20221110000227

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. Andrea Rolanda 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
Andrea Rolanda Jackson, PMHNP
864 Lake Royal Dr,
Grovetown, GA 30813-4516

Ph: (443) 822-6648		Andrea Rolanda Jackson, PMHNP
1202 Town Park Ln Ste 300,
Evans, GA 30809-3477

Ph: (706) 432-6866

Reviews and Comments


Nurse Practitioner Nurses in Evans, GA

Katie Ann Gresham, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 4720 Washington Rd, Evans, GA 30809
Phone: 706-774-7760    
Kristen Renee Bell, ARNP, BC
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Medicare: Accepting Medicare Assignments
Practice Location: 393 N Belair Rd, Evans, GA 30809
Phone: 706-868-0104    Fax: 706-650-7825
Mrs. Deundra Loraine Graham, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 5110 Wells Dr, Evans, GA 30809
Phone: 706-664-4106    
Dr. Margo Louise Henderson, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 465 N Belair Rd, Ste 2b, Evans, GA 30809
Phone: 706-774-7400    Fax: 706-774-7590
Mrs. Kathryn Ricks Toburen, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 465 N Belair Rd, Suite 1-b, Evans, GA 30809
Phone: 706-868-3100    Fax: 706-228-3160
Samantha Shoemaker Tojino, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 610 Ponder Place Dr, Evans, GA 30809
Phone: 706-707-2808    
Mrs. Mary Elizabeth Wise, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 496 Fairfield Ct, Evans, GA 30809
Phone: 229-292-9248    

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).

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