Jaclyn Bane, - Medicare Nurse Practitioner in Jackson, TN

Jaclyn Bane, is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Tennessee. She went to University Of South Alabama College Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Christ Community Health Services Inc., Fast Pace Medical Clinic Pllc and her current practice location is 587 Skyline Dr, Jackson, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 424-8922.

Jaclyn Bane is licensed to practice in Tennessee (license number 19616) 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 1871983452.

Contact Information

Jaclyn Bane,
587 Skyline Dr,
Jackson, TN 38301-3938
(731) 424-8922
(731) 423-2922

Map and Direction




Provider's Profile

Full NameJaclyn Bane
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location587 Skyline Dr, Jackson, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jaclyn Bane attended and graduated from University Of South Alabama College Of Medicine in 2014
  NPI Data:
  • NPI Number: 1871983452
  • Provider Enumeration Date: 02/03/2015
  • Last Update Date: 12/20/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7810216777
  • Enrollment ID: I20150428001186

Medical Identifiers

Medical identifiers for Jaclyn Bane such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871983452NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 19616 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Christ Community Health Services Inc.387040208458
Fast Pace Medical Clinic Pllc5395881841556

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. Jaclyn Bane allows following entities to bill medicare on her behalf.
Entity NameChrist Community Health Services Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982686614
PECOS PAC ID: 3870402084
Enrollment ID: O20040528000468
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112

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. Jaclyn Bane 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
Jaclyn Bane,
1804 Highway 45 Byp Ste 604,
Jackson, TN 38305-4403

Ph: (731) 660-7971
Jaclyn Bane,
587 Skyline Dr,
Jackson, TN 38301-3938

Ph: (731) 424-8922

Reviews and Comments


Nurse Practitioner Nurses in Jackson, TN

Katherine E Wyatt, A.P.R.N.
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Medicare: Accepting Medicare Assignments
Practice Location: 145 Innovation Dr, Jackson, TN 38305
Phone: 731-422-0213    Fax: 731-660-8301
Amy K Lawrence, FNP
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Medicare: Medicare Enrolled
Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305
Phone: 731-422-0213    Fax: 731-660-8380
Lauren Williams,
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Anna K Younger, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 145 Innovation Dr, Jackson, TN 38305
Phone: 731-422-0213    Fax: 731-660-8301
Kirsten Siler,
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Medicare: Accepting Medicare Assignments
Practice Location: 27a Medical Center Drive, Jackson, TN 38301
Phone: 731-541-3310    
Stephanie Pool, APRN
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Medicare: Not Enrolled in Medicare
Practice Location: 36 Pemberton Cv, Jackson, TN 38305
Phone: 731-394-1145    Fax: 844-374-0233
Kimberlie A Simpson, APRN, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 23 Independence Ln, Jackson, TN 38305
Phone: 731-617-1483    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.