Donna Lachelle Jackson, in Tyler, TX - Medicare Nurse Practitioner

Donna Lachelle Jackson, is a medicare enrolled "Nurse Practitioner" in Tyler, Texas. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tyler Family Circle Of Care and her current practice location is 2990 N Broadway Ave, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 535-9041.

Donna Lachelle Jackson is licensed to practice in Texas (license number 1032219) 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 1114531217.

Contact Information

	Donna Lachelle Jackson,
	2990 N Broadway Ave, Tyler, TX 75702-2149
	(903) 535-9041
	Not Available

Map and Direction

Provider's Profile

Full Name	Donna Lachelle Jackson
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	2990 N Broadway Ave, Tyler, Texas
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:

Donna Lachelle Jackson graduated from nursing school in 2018

NPI Data:

NPI Number: 1114531217
Provider Enumeration Date: 09/04/2020
Last Update Date: 03/27/2024

Medicare PECOS Information:

PECOS PAC ID: 1355732546
Enrollment ID: I20211223000112

Medical Identifiers

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

Identifier	Type	State	Issuer
1114531217	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC1600X	Registered Nurse - Continuing Education/staff Development	676887 (Texas)	Secondary
363L00000X	Nurse Practitioner	1032219 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tyler Family Circle Of Care	4587812888	19

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. Donna Lachelle Jackson allows following entities to bill medicare on her behalf.

Entity Name	Tyler Family Circle Of Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144575820 PECOS PAC ID: 4587812888 Enrollment ID: O20120911000666

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. Donna Lachelle 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
Donna Lachelle Jackson, 523 S Fannin Ave, Tyler, TX 75702-8204 Ph: (903) 535-9041	Donna Lachelle Jackson, 2990 N Broadway Ave, Tyler, TX 75702-2149 Ph: (903) 535-9041

Reviews and Comments

Nurse Practitioner Nurses in Tyler, TX

Brandi Dunford, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 330, Tyler, TX 75702 Phone: 903-606-7995
Jacob G Thoele, AGACNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 550, Tyler, TX 75702 Phone: 903-606-8718 Fax: 903-606-1218
Abram Ambriz, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715
Anna Elise Fenton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6210 S Broadway Ave, Tyler, TX 75703 Phone: 903-579-2700 Fax: 903-579-2799
Mary Anne Fitzgerald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 N Broadway Ave, Tyler, TX 75702 Phone: 903-535-0023 Fax: 903-535-0052
Rendall Northcutt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7200 Fax: 903-877-5080
Kinsey Henry, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1720 S Beckham Ave, Tyler, TX 75701 Phone: 903-630-6211

Donna Lachelle Jackson, - Medicare Nurse Practitioner in Tyler, TX