Jackie Pierson, CNP is a medicare enrolled "Nurse Practitioner" in Latham, Ohio. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Somc Medical Care Foundation, Inc. and her current practice location is
7959 State Route 124, Latham, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 493-1800.
Jackie Pierson is licensed to practice in Ohio (license number APRN.CNP.025524) 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 1447808936.
Provider's Profile
| Full Name | Jackie Pierson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 7959 State Route 124, Latham, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jackie Pierson graduated from nursing school in 2019
NPI Data:
- NPI Number: 1447808936
- Provider Enumeration Date: 08/28/2019
- Last Update Date: 12/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 4486986973
- Enrollment ID: I20191104000099
Medical Identifiers
Medical identifiers for Jackie Pierson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447808936 | NPI | - | NPPES |
| 0368049 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | APRN.CNP.025524 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Somc Medical Care Foundation, Inc. | 9436061645 | 234 |
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. Jackie Pierson allows following entities to bill medicare on her behalf.
| Entity Name | Somc Medical Care Foundation, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457467227
PECOS PAC ID: 9436061645
Enrollment ID: O20031125000203 |
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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. Jackie Pierson 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 |
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Jackie Pierson, CNP
1735 27th St Ste B06,
Portsmouth, OH 45662-2681
Ph: (740) 356-8034 | Jackie Pierson, CNP
7959 State Route 124,
Latham, OH 45646-9701
Ph: (740) 493-1800 |
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