Charlene Jackson, - Licensed Practical Nurse in Lake Station, IN

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Charlene Jackson, is a Licensed Practical Nurse based in Lake Station, Indiana. Charlene Jackson is licensed to practice in Indiana (license number 27031267A) and her current practice location is 2075 Ripley St, Lake Station, Indiana. She can be reached at her office (for appointments etc.) via phone at (219) 962-9437.

NPI number for Charlene Jackson is 1689994683 and her current mailing address is 1063 Wallace St, Gary, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689994683.

Contact Information

Charlene Jackson,
2075 Ripley St,
Lake Station, IN 46405-1161
(219) 962-9437
Not Available

Map and Direction




Provider's Profile

Full NameCharlene Jackson
GenderFemale
SpecialityLicensed Practical Nurse
Location2075 Ripley St, Lake Station, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689994683
  • Provider Enumeration Date: 06/02/2010
  • Last Update Date: 06/02/2010

Medical Identifiers

Medical identifiers for Charlene Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689994683NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 27031267A (Indiana)Primary

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. Charlene Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charlene Jackson,
1063 Wallace St,
Gary, IN 46404-1818

Ph: () -		Charlene Jackson,
2075 Ripley St,
Lake Station, IN 46405-1161

Ph: (219) 962-9437

Reviews and Comments


Licensed Practical Nurse Nurses in Lake Station, IN

Jennifer Marie Legg, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2075 Ripley St, Lake Station, IN 46405
Phone: 219-962-5311    

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.