Carmen Yolanda Jackson, FNP in Waycross, GA - Medicare Nurse Practitioner

Carmen Yolanda Jackson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Waycross, Georgia. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Peter Wrobel Md Pc and her current practice location is 1900 Tebeau St, Waycross, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 287-2555.

Carmen Yolanda Jackson is licensed to practice in Georgia (license number RN149316) 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 1306368329.

Contact Information

	Carmen Yolanda Jackson, FNP
	1900 Tebeau St, Waycross, GA 31501-6357
	(912) 287-2555
	Not Available

Map and Direction

Provider's Profile

Full Name	Carmen Yolanda Jackson
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	1900 Tebeau St, Waycross, 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:

Carmen Yolanda Jackson graduated from nursing school in 2017

NPI Data:

NPI Number: 1306368329
Provider Enumeration Date: 07/11/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7214203793
Enrollment ID: I20171027002094

Medical Identifiers

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

Identifier	Type	State	Issuer
1306368329	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN149316 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mayo Clinic Health System In Waycross	Waycross, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Peter Wrobel Md Pc	0345390795	3

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. Carmen Yolanda Jackson allows following entities to bill medicare on her behalf.

Entity Name	Peter Wrobel Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063654929 PECOS PAC ID: 0345390795 Enrollment ID: O20090608000040

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. Carmen Yolanda 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
Carmen Yolanda Jackson, FNP 1900 Tebeau St, Waycross, GA 31501-6357 Ph: (912) 287-2555	Carmen Yolanda Jackson, FNP 1900 Tebeau St, Waycross, GA 31501-6357 Ph: (912) 287-2555

Reviews and Comments

Nurse Practitioner Nurses in Waycross, GA

Barbara D Pittman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615a Pendleton St, Waycross, GA 31501 Phone: 912-548-0710 Fax: 912-548-0071
Robert Scott Jacobs, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403a Lister St, Waycross, GA 31501 Phone: 912-283-4422 Fax: 912-283-4866
Mr. James Aaron Houser, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1206 Alice St, Waycross, GA 31501 Phone: 912-285-1140 Fax: 912-285-1125
Dawn Lynn Driggers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1710 1/2 Alice St, Waycross, GA 31501 Phone: 912-614-3768
Kala Hodges, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 409 Uvalda St, Waycross, GA 31501 Phone: 229-391-3500
Ms. Andrea M Deloach, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 Knight Ave, Waycross, GA 31501 Phone: 912-283-9423 Fax: 912-283-2946
Mrs. Jennifer Miller Rafus, M.S., FNP, LIC. AC. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615a Pendleton St, Waycross, GA 31501 Phone: 912-548-0710

Carmen Yolanda Jackson, FNP - Medicare Nurse Practitioner in Waycross, GA