Caleb R Jackson, FNP in Salt Lake City, UT - Medicare Nurse Practitioner

Caleb R Jackson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Salt Lake City, Utah. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Neurosurgical Associates Llc and his current practice location is 1220 E 3900 S Ste 4e, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 261-8507.

Caleb R Jackson is licensed to practice in Utah (license number 347183-4405) 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 1275926149.

Contact Information

	Caleb R Jackson, FNP
	1220 E 3900 S Ste 4e, Salt Lake City, UT 84124-1343
	(801) 261-8507
	(801) 261-8511

Map and Direction

Provider's Profile

Full Name	Caleb R Jackson
Gender	Male
Speciality	Nurse Practitioner
Experience	10 Years
Location	1220 E 3900 S Ste 4e, Salt Lake City, Utah
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:

Caleb R Jackson graduated from nursing school in 2014

NPI Data:

NPI Number: 1275926149
Provider Enumeration Date: 03/16/2015
Last Update Date: 12/13/2023

Medicare PECOS Information:

PECOS PAC ID: 2466767744
Enrollment ID: I20150814014420

Medical Identifiers

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

Identifier	Type	State	Issuer
1275926149	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	347183-4405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mark's Hospital	Salt lake city, UT	Hospital
Lone Peak Hospital	Draper, UT	Hospital
Memorial Hospital Sweetwater County	Rock springs, WY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Neurosurgical Associates Llc	4587578224	13

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. Caleb R Jackson allows following entities to bill medicare on his behalf.

Entity Name	Neurosurgical Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477695187 PECOS PAC ID: 4587578224 Enrollment ID: O20031117000554

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. Caleb R 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
Caleb R Jackson, FNP 5171 S Cottonwood St Ste 950, Murray, UT 84107-5713 Ph: (801) 507-9542	Caleb R Jackson, FNP 1220 E 3900 S Ste 4e, Salt Lake City, UT 84124-1343 Ph: (801) 261-8507

Reviews and Comments

Nurse Practitioner Nurses in Salt Lake City, UT

Mrs. Lisa Ann Runyon, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Trauma Services, Salt Lake City, UT 84113 Phone: 801-662-2993 Fax: 801-662-2999
Madeline Ann Thayer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-3600
Emma Fong, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3802 S 700 E, Salt Lake City, UT 84106 Phone: 801-264-6000
Ashlee Brynn Fenton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1160 E 3900 S Ste G200, Salt Lake City, UT 84124 Phone: 801-268-7766
Donna M. Wahoff-stice, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 Arapeen Dr, 100, Salt Lake City, UT 84108 Phone: 801-581-7761
Linda M Lambert, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Ms. Ann A. K. Kamp, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 Fax: 801-662-4166

Caleb R Jackson, FNP - Medicare Nurse Practitioner in Salt Lake City, UT