Chanelle Jackson, APRN - Medicare Nurse Practitioner in Columbia, SC

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Chanelle Jackson, APRN is a medicare enrolled "Nurse Practitioner - Family" in Columbia, South Carolina. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lexington Health Inc and her current practice location is 229 Longtown Rd, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 419-4949.

Chanelle Jackson is licensed to practice in South Carolina (license number 20603) 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 1629510862.

Contact Information

Chanelle Jackson, APRN
229 Longtown Rd,
Columbia, SC 29229-8550
(803) 419-4949
Not Available

Map and Direction




Provider's Profile

Full NameChanelle Jackson
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location229 Longtown Rd, Columbia, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Chanelle Jackson graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1629510862
  • Provider Enumeration Date: 11/04/2016
  • Last Update Date: 01/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5496031569
  • Enrollment ID: I20170405000041

Medical Identifiers

Medical identifiers for Chanelle Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629510862NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 20603 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lexington Medical CenterWest columbia, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lexington Health Inc2567872070767

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. Chanelle Jackson allows following entities to bill medicare on her behalf.
Entity NameDoctors Care, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366499048
PECOS PAC ID: 6204731300
Enrollment ID: O20040112000069
Entity NameCarolina Health Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306979521
PECOS PAC ID: 5496707804
Enrollment ID: O20050825000437
Entity NameMinuteclinic Diagnostic South Carolina Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447420815
PECOS PAC ID: 8527126861
Enrollment ID: O20081015000409
Entity NameWal-mart Stores East , Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922415165
PECOS PAC ID: 6204749997
Enrollment ID: O20141024000133
Entity NameLexington Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710634753
PECOS PAC ID: 2567872070
Enrollment ID: O20201208000922

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. Chanelle 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
Chanelle Jackson, APRN
Po Box 6069,
West Columbia, SC 29171-6069

Ph: (803) 935-8292		Chanelle Jackson, APRN
229 Longtown Rd,
Columbia, SC 29229-8550

Ph: (803) 419-4949

Reviews and Comments


Nurse Practitioner Nurses in Columbia, SC

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Richard Hall Iii, APRN, FNP-BC
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Practice Location: 1 Richland Medical Park Dr Ste 100, Columbia, SC 29203
Phone: 803-434-6095    Fax: 803-758-0120
Latonya Brailsford, NP
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Laketa D Riley, APRN
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Practice Location: 111 Doctor Cir, Columbia, SC 29203
Phone: 800-491-0909    
Jenny O'neill, FNP-BC
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Sarah Elizabeth Wilson, PNP
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Medicare: Medicare Enrolled
Practice Location: 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203
Phone: 803-434-3950    Fax: 803-434-3496
Miss Karen Mccain, NURSE PRACTITONER
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Practice Location: 111 Doctor Cir, Columbia, SC 29203
Phone: 800-491-0909    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.