Ebony Adele Jackson, CRNP in Dover, DE - Medicare Nurse Practitioner

Ebony Adele Jackson, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Dover, Delaware. Her current practice location is 1198 S Governors Ave Ste 201, Dover, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 382-8698.

Ebony Adele Jackson is licensed to practice in Delaware (license number L8-0010677) 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 1609693662.

Contact Information

	Ebony Adele Jackson, CRNP
	1198 S Governors Ave Ste 201, Dover, DE 19904-6930
	(302) 382-8698
	(302) 269-3800

Map and Direction

Provider's Profile

Full Name	Ebony Adele Jackson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1198 S Governors Ave Ste 201, Dover, Delaware
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609693662
Provider Enumeration Date: 09/23/2024
Last Update Date: 09/23/2024

Medicare PECOS Information:

PECOS PAC ID: 1052844743
Enrollment ID: I20241104000049

Medical Identifiers

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

Identifier	Type	State	Issuer
1609693662	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	L8-0010677 (Delaware)	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. Ebony Adele Jackson allows following entities to bill medicare on her behalf.

Entity Name	Mental Edge Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699145854 PECOS PAC ID: 2668750324 Enrollment ID: O20161031002379

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. Ebony Adele 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
Ebony Adele Jackson, CRNP 1198 S Governors Ave Ste 201, Dover, DE 19904-6930 Ph: (302) 382-8698	Ebony Adele Jackson, CRNP 1198 S Governors Ave Ste 201, Dover, DE 19904-6930 Ph: (302) 382-8698

Reviews and Comments

Nurse Practitioner Nurses in Dover, DE

Jonelle Murph, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 642 South Queen Street, Ste 102, Dover, DE 19904 Phone: 800-818-8680 Fax: 866-229-0237
Abigail Kozhuharov, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 640 S State St, Dover, DE 19901 Phone: 302-674-4700
Mrs. Angela Erin Knotts, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1673 S State St Ste B, Dover, DE 19901 Phone: 855-527-7246 Fax: 866-229-5063
Michelle L Leite, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Banning St Ste 270, Dover, DE 19904 Phone: 302-674-1999
Lisa Anne Wullschleger, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 805 River Rd, Kent County Public Health Family Planning, Dover, DE 19901 Phone: 302-739-4728 Fax: 302-739-7735
Linda Ann Ashley, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Beiser Blvd Ste 201, Dover, DE 19904 Phone: 302-678-7438 Fax: 302-678-7434
Mrs. Matilda Korkor Decker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 E Loockerman St Ste 204, Dover, DE 19901 Phone: 302-666-9806

Ebony Adele Jackson, CRNP - Medicare Nurse Practitioner in Dover, DE