Dionne Jackson, NP is a medicare enrolled "Internal Medicine - Medical Oncology" in Athens, Georgia. Her current practice location is
125 King Ave Ste 200, Athens, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 369-4478.
Dionne Jackson is licensed to practice in Georgia (license number RN249589) 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 1164203204.
Provider's Profile
| Full Name | Dionne Jackson |
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| Gender | Female |
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| Speciality | Internal Medicine - Medical Oncology |
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| Location | 125 King Ave Ste 200, Athens, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164203204
- Provider Enumeration Date: 10/12/2023
- Last Update Date: 01/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 4183073588
- Enrollment ID: I20231211002463
Medical Identifiers
Medical identifiers for Dionne Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164203204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | RN249589 (Georgia) | Secondary |
| 207RX0202X | Internal Medicine - Medical Oncology | RN249589 (Georgia) | 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. Dionne Jackson allows following entities to bill medicare on her behalf.
| Entity Name | Piedmont Providers Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548273592
PECOS PAC ID: 9830082825
Enrollment ID: O20040204000321 |
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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. Dionne 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 |
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Dionne Jackson, NP
1757 Rock Quarry Rd Ste A,
Stockbridge, GA 30281-7303
Ph: (678) 284-6575 | Dionne Jackson, NP
125 King Ave Ste 200,
Athens, GA 30606-6710
Ph: (706) 369-4478 |
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