Douglas Jackson, NP in Richmond, IN - Medicare Nurse Practitioner

Douglas Jackson, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Richmond, Indiana. He graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Pulmonary And Critical Care Consultants, Inc and his current practice location is 1100 Reid Pkwy, Richmond, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 983-3000.

Douglas Jackson is licensed to practice in Ohio (license number APRN.CNP.0027550) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184277857.

Contact Information

	Douglas Jackson, NP
	1100 Reid Pkwy, Richmond, IN 47374-1157
	(765) 983-3000
	(765) 935-8944

Map and Direction

Provider's Profile

Full Name	Douglas Jackson
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	1100 Reid Pkwy, Richmond, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Douglas Jackson graduated from nursing school in 2019

NPI Data:

NPI Number: 1184277857
Provider Enumeration Date: 07/22/2019
Last Update Date: 10/30/2024

Medicare PECOS Information:

PECOS PAC ID: 9032445853
Enrollment ID: I20210202001241

Medical Identifiers

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

Identifier	Type	State	Issuer
1184277857	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71009145A (Indiana)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	APRN.CNP.0027550 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Upper Valley Medical Center	Troy, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pulmonary And Critical Care Consultants, Inc	9234115379	35

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. Douglas Jackson allows following entities to bill medicare on his behalf.

Entity Name	Pulmonary & Critical Care Consultants, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861432379 PECOS PAC ID: 9234115379 Enrollment ID: O20040628001629

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. Douglas 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
Douglas Jackson, NP 1100 Reid Parkway, Medical Staff Service, Richmond, IN 47374 Ph: (765) 935-5331	Douglas Jackson, NP 1100 Reid Pkwy, Richmond, IN 47374-1157 Ph: (765) 983-3000

Reviews and Comments

Nurse Practitioner Nurses in Richmond, IN

Poshia Slusher, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3600 E Main St, Richmond, IN 47374 Phone: 765-598-5700
Catherine Blyth, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 Chester Blvd., Suite 1, Richmond, IN 47374 Phone: 765-935-8594 Fax: 765-935-8595
Mrs. Debra Kay Shaw, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 S 8th St, Richmond, IN 47374 Phone: 765-939-3947 Fax: 765-939-3950
Casey Joe Smith, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 498 Nw 18th St Ste D, Richmond, IN 47374 Phone: 765-373-8704
Mrs. Britney Marie Glover, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1485 Chester Blvd., Reid Pediatric & Internal Medicine, Richmond, IN 47374 Phone: 765-966-5527 Fax: 765-966-5528
Tabatha Nicole Timberman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1050 Reid Pkwy Ste 130, Richmond, IN 47374 Phone: 765-935-8943 Fax: 765-935-8944
Tina S. Chavis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Chester Blvd, Richmond, IN 47374 Phone: 765-939-2395 Fax: 765-939-2425

Douglas Jackson, NP - Medicare Nurse Practitioner in Richmond, IN