Jackqueline L Robertson, AGACNP-BC in Beaumont, TX

Jackqueline L Robertson, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Beaumont, Texas. Her current practice location is 3080 College St, Beaumont, Texas. You can reach out to her office (for appointments etc.) via phone at (409) 212-5000.

Jackqueline L Robertson is licensed to practice in Texas (license number 1172149) 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 1760214100.

Contact Information

	Jackqueline L Robertson, AGACNP-BC
	3080 College St, Beaumont, TX 77701-4606
	(409) 212-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jackqueline L Robertson
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	3080 College St, Beaumont, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760214100
Provider Enumeration Date: 08/15/2024
Last Update Date: 10/29/2024

Medicare PECOS Information:

PECOS PAC ID: 6901889633
Enrollment ID: I20241107002641

Medical Identifiers

Medical identifiers for Jackqueline L Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760214100	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	1172149 (Texas)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	1172149 (Texas)	Primary
251J00000X	Nursing Care	690734 (Texas)	Secondary

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. Jackqueline L Robertson allows following entities to bill medicare on her behalf.

Entity Name	Jason Martin Medical Consulting Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851736243 PECOS PAC ID: 8325289812 Enrollment ID: O20130725000633

Entity Name	Pai Participant 9 Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679135420 PECOS PAC ID: 7113254277 Enrollment ID: O20190812003650

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. Jackqueline L Robertson 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
Jackqueline L Robertson, AGACNP-BC Po Box 205, Thicket, TX 77374-0205 Ph: (520) 425-0739	Jackqueline L Robertson, AGACNP-BC 3080 College St, Beaumont, TX 77701-4606 Ph: (409) 212-5000

Reviews and Comments

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Jackqueline L Robertson, AGACNP-BC - Medicare Nurse Practitioner in Beaumont, TX