Deanna Jackson, in Fort Payne, AL - Medicare Nurse Practitioner

Deanna Jackson, is a medicare enrolled "Nurse Practitioner - Family" in Fort Payne, Alabama. Her current practice location is 2615 Gault Ave N, Fort Payne, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 845-4134.

Deanna Jackson is licensed to practice in Alabama (license number 1090205) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952859175.

Contact Information

	Deanna Jackson,
	2615 Gault Ave N, Fort Payne, AL 35967-3728
	(256) 845-4134
	(256) 845-4709

Map and Direction

Provider's Profile

Full Name	Deanna Jackson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2615 Gault Ave N, Fort Payne, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952859175
Provider Enumeration Date: 09/16/2016
Last Update Date: 09/16/2016

Medicare PECOS Information:

PECOS PAC ID: 9032499926
Enrollment ID: I20161212001065

Medical Identifiers

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

Identifier	Type	State	Issuer
1952859175	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1090205 (Alabama)	Primary

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. Deanna Jackson allows following entities to bill medicare on her behalf.

Entity Name	North Dekalb Primary Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851898449 PECOS PAC ID: 1153652011 Enrollment ID: O20191008002800

Entity Name	Highlands Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750041786 PECOS PAC ID: 0648666198 Enrollment ID: O20220408001223

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. Deanna 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
Deanna Jackson, 2615 Gault Ave N, Fort Payne, AL 35967-3728 Ph: (256) 845-4134	Deanna Jackson, 2615 Gault Ave N, Fort Payne, AL 35967-3728 Ph: (256) 845-4134

Reviews and Comments

Nurse Practitioner Nurses in Fort Payne, AL

Shannon Hilley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 Gault Ave N Ste 200, Fort Payne, AL 35967 Phone: 256-997-2855
Lauren Obenlander, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2202 Jordan Rd Sw Ste 300, Fort Payne, AL 35968 Phone: 256-844-2911
Jennifer Frances Hand, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1359 Old Water Works Rd Sw, Fort Payne, AL 35968 Phone: 256-997-5900
Corazon P Alvarado, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2202 Jordan Rd Sw, Fort Payne, AL 35968 Phone: 256-844-2825 Fax: 256-844-1804
Janna Kay Culpepper, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1359 Old Water Works Rd Sw, Fort Payne, AL 35968 Phone: 256-997-5900 Fax: 888-977-1691
Micah Miranda Hilyer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3840 Gault Ave N, Fort Payne, AL 35967 Phone: 256-844-4975 Fax: 256-844-4978
Sarah Elizabeth Gilreath, MSN, PMHNP-BC, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1359 Old Water Works Rd Sw, Fort Payne, AL 35968 Phone: 256-997-5900

Deanna Jackson, - Medicare Nurse Practitioner in Fort Payne, AL