Emma J Jackson, NP - Medicare Registered Nurse in Lake Elsinore, CA

Emma J Jackson, NP is a medicare enrolled "Registered Nurse - Pediatrics" in Lake Elsinore, California. Her current practice location is 33048 Canopy Ln, Lake Elsinore, California. You can reach out to her office (for appointments etc.) via phone at (909) 614-3039.

Emma J Jackson is licensed to practice in California (license number 95042368) 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 1255809372.

Contact Information

Emma J Jackson, NP
33048 Canopy Ln,
Lake Elsinore, CA 92532-2535
(909) 614-3039
Not Available

Map and Direction




Provider's Profile

Full NameEmma J Jackson
GenderFemale
SpecialityRegistered Nurse - Pediatrics
Location33048 Canopy Ln, Lake Elsinore, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255809372
  • Provider Enumeration Date: 11/06/2018
  • Last Update Date: 08/07/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3274963913
  • Enrollment ID: I20200421003102

Medical Identifiers

Medical identifiers for Emma J Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255809372NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN95042368 (California)Secondary
363LF0000XNurse Practitioner - Family NP950147 (California)Secondary
163WP0200XRegistered Nurse - Pediatrics 95042368 (California)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. Emma J Jackson allows following entities to bill medicare on her behalf.
Entity NameMinghsun Liu Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518309368
PECOS PAC ID: 6608004775
Enrollment ID: O20140117000335
Entity NameImani Woundcare Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801679147
PECOS PAC ID: 4082068630
Enrollment ID: O20230929002708

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. Emma J 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 AddressPractice Location Address
Emma J Jackson, NP
33048 Canopy Ln,
Lake Elsinore, CA 92532-2535

Ph: (909) 614-3039
Emma J Jackson, NP
33048 Canopy Ln,
Lake Elsinore, CA 92532-2535

Ph: (909) 614-3039

Reviews and Comments


Registered Nurse Nurses in Lake Elsinore, CA

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Naomi Wanjiku Murungu, NURSE
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Brianna Michelle Llamas, RN
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Shelley Renee Flynn, RN
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Mr. Jay Fletcher,
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Practice Location: 29356 Kalina Ave, Lake Elsinore, CA 92530
Phone: 951-837-6545    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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