Dominique Mechelle Jackson, in Jackson, MS - Medicare Nurse Practitioner

Dominique Mechelle Jackson, is a medicare enrolled "Nurse Practitioner" in Jackson, Mississippi. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Garvey Wellness Clinic, Inc and her current practice location is 766b Lakeland Dr, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 982-2916.

Dominique Mechelle Jackson is licensed to practice in Mississippi (license number 901975) 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 1679000814.

Contact Information

	Dominique Mechelle Jackson,
	766b Lakeland Dr, Jackson, MS 39216-4610
	(601) 982-2916
	(601) 366-2916

Map and Direction

Provider's Profile

Full Name	Dominique Mechelle Jackson
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	766b Lakeland Dr, Jackson, Mississippi
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:

Dominique Mechelle Jackson graduated from nursing school in 2008

NPI Data:

NPI Number: 1679000814
Provider Enumeration Date: 05/18/2017
Last Update Date: 04/20/2021

Medicare PECOS Information:

PECOS PAC ID: 2466720669
Enrollment ID: I20210504000885

Medical Identifiers

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

Identifier	Type	State	Issuer
1679000814	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	901975 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Garvey Wellness Clinic, Inc	0042432205	4

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. Dominique Mechelle Jackson allows following entities to bill medicare on her behalf.

Entity Name	Garvey Wellness Clinic, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659774701 PECOS PAC ID: 0042432205 Enrollment ID: O20141104001283

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. Dominique Mechelle 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
Dominique Mechelle Jackson, 766b Lakeland Dr, Jackson, MS 39216-4610 Ph: (601) 982-2916	Dominique Mechelle Jackson, 766b Lakeland Dr, Jackson, MS 39216-4610 Ph: (601) 982-2916

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503
Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400

Dominique Mechelle Jackson, - Medicare Nurse Practitioner in Jackson, MS