Bradley Daniel Jackson, CRNA in Pensacola, FL - Medicare Certified Registered Nurse Anesthetist (crna)

Bradley Daniel Jackson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pensacola, Florida. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice D.w. Mcmillan Memorial Hospital and his current practice location is 4901 Grande Dr, Pensacola, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 477-7042.

Bradley Daniel Jackson is licensed to practice in Florida (license number ARNP9312860) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578869475.

Contact Information

	Bradley Daniel Jackson, CRNA
	4901 Grande Dr, Pensacola, FL 32504-5935
	(850) 477-7042
	(850) 474-9060

Map and Direction

Provider's Profile

Full Name	Bradley Daniel Jackson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	14 Years
Location	4901 Grande Dr, Pensacola, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bradley Daniel Jackson graduated from nursing school in 2010

NPI Data:

NPI Number: 1578869475
Provider Enumeration Date: 02/10/2011
Last Update Date: 08/25/2020

Medicare PECOS Information:

PECOS PAC ID: 5597946434
Enrollment ID: I20200831000612

Medical Identifiers

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

Identifier	Type	State	Issuer
1578869475	NPI	-	NPPES
592-13562	Other	AL	BLUE CROSS BLUE SHIELD
G00ME	Other	FL	BLUE CROSS BLUE SHIELD
P00959140	Other		MEDICARE RAILROAD
126061	Medicaid	AL
003243800	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	ARNP9312860 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
D W Mcmillan Memorial Hospital	Brewton, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
D.w. Mcmillan Memorial Hospital	3072558378	19

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. Bradley Daniel Jackson allows following entities to bill medicare on his behalf.

Entity Name	D.w. Mcmillan Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033309125 PECOS PAC ID: 3072558378 Enrollment ID: O20051228000313

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. Bradley Daniel 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
Bradley Daniel Jackson, CRNA 1301 Belleville Ave, Brewton, AL 36426-1306 Ph: (251) 809-8429	Bradley Daniel Jackson, CRNA 4901 Grande Dr, Pensacola, FL 32504-5935 Ph: (850) 477-7042

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Pensacola, FL

Katherine Kuehn, ARNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8383 N Davis Hwy, Pensacola, FL 32514 Phone: 850-494-6098 Fax: 850-494-5150
Kaitlyn Brown, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8383 N Davis Hwy, Pensacola, FL 32514 Phone: 850-494-3212
Brian Grady Watson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8383 N Davis Hwy, Pensacola, FL 32514 Phone: 228-257-5070 Fax: 850-494-5150
Leslie Street, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4901 Grande Dr, Pensacola, FL 32504 Phone: 850-477-7042 Fax: 850-474-9060
Katherine B Bryan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8333 N Davis Hwy, Medical Center Clinic, Pensacola, FL 32514 Phone: 850-474-8319 Fax: 850-969-2958
Mrs. Casey Hitt Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4901 Grande Dr, Pensacola, FL 32504 Phone: 850-477-7042 Fax: 850-474-9060
Darrah L Friedman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4901 Grande Dr, Pensacola, FL 32504 Phone: 850-477-7042 Fax: 850-474-9060

Bradley Daniel Jackson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Pensacola, FL