Audrey Lee Farson Jackson, APRN in Melbourne, FL

Audrey Lee Farson Jackson, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" in Melbourne, Florida. Her current practice location is 1223 Gateway Dr Ste 1d, Melbourne, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 729-6166.

Audrey Lee Farson Jackson is licensed to practice in Florida (license number APRN11026952) 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 1114507332.

Contact Information

	Audrey Lee Farson Jackson, APRN
	1223 Gateway Dr Ste 1d, Melbourne, FL 32901-2607
	(321) 729-6166
	(321) 722-1237

Map and Direction

Provider's Profile

Full Name	Audrey Lee Farson Jackson
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	1223 Gateway Dr Ste 1d, Melbourne, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114507332
Provider Enumeration Date: 04/12/2021
Last Update Date: 02/09/2024

Medicare PECOS Information:

PECOS PAC ID: 7810348828
Enrollment ID: I20240103003953

Medical Identifiers

Medical identifiers for Audrey Lee Farson Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114507332	NPI	-	NPPES
SA065	Other	FL	MEDICARE HF
120782400	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	APRN11026952 (Florida)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	APRN11026952 (Florida)	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. Audrey Lee Farson Jackson allows following entities to bill medicare on her behalf.

Entity Name	Health First Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135

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. Audrey Lee Farson 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
Audrey Lee Farson Jackson, APRN 3300 S Fiske Blvd, Rockledge, FL 32955-4306 Ph: (321) 729-6166	Audrey Lee Farson Jackson, APRN 1223 Gateway Dr Ste 1d, Melbourne, FL 32901-2607 Ph: (321) 729-6166

Reviews and Comments

Nurse Practitioner Nurses in Melbourne, FL

Mrs. Dawn P Hamel, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2290 W Eau Gallie Blvd, Melbourne, FL 32935 Phone: 321-435-1505 Fax: 321-426-7446
Mrs. Stephanie Louise Battaglini, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St Ste 102, Melbourne, FL 32901 Phone: 321-434-3452 Fax: 321-434-3456
Tiffani Davidson, APRN, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 2e, Melbourne, FL 32901 Phone: 321-361-5564
William Brandon Evans, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771
Stacyann Stephens, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2626 Florencia Pl, Melbourne, FL 32940 Phone: 305-338-5141
Cynthia Parsons Hall, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1335 Valentine St, Melbourne, FL 32901 Phone: 321-586-5444 Fax: 321-586-5444
Michele Anne Mccarthy-lavish, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr, Melbourne, FL 32901 Phone: 321-549-0752 Fax: 321-952-2330

Audrey Lee Farson Jackson, APRN - Medicare Nurse Practitioner in Melbourne, FL