Jada Jackson, FNP-BC in Scottsdale, AZ - Medicare Nurse Practitioner

Jada Jackson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Scottsdale, Arizona. Her current practice location is 9201 E Mountain View Rd Ste 220, Scottsdale, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 273-4001.

Jada Jackson is licensed to practice in Mississippi (license number 905079) 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 1760143572.

Contact Information

	Jada Jackson, FNP-BC
	9201 E Mountain View Rd Ste 220, Scottsdale, AZ 85258-5172
	(480) 273-4001
	Not Available

Map and Direction

Provider's Profile

Full Name	Jada Jackson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	9201 E Mountain View Rd Ste 220, Scottsdale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760143572
Provider Enumeration Date: 01/04/2022
Last Update Date: 01/04/2022

Medicare PECOS Information:

PECOS PAC ID: 0143665307
Enrollment ID: I20240227002746

Medical Identifiers

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

Identifier	Type	State	Issuer
1760143572	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	905079 (Mississippi)	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. Jada Jackson allows following entities to bill medicare on her behalf.

Entity Name	Community Care Health Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556

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. Jada 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
Jada Jackson, FNP-BC 9201 E Mountain View Rd Ste 220, Scottsdale, AZ 85258-5172 Ph: (480) 273-4001	Jada Jackson, FNP-BC 9201 E Mountain View Rd Ste 220, Scottsdale, AZ 85258-5172 Ph: (480) 273-4001

Reviews and Comments

Nurse Practitioner Nurses in Scottsdale, AZ

Mrs. Tamera Ann Youngblood, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14570 E Sweetwater Ave, Scottsdale, AZ 85259 Phone: 602-463-8064 Fax: 800-877-0713
Ira Eunice Arandia Mauro, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9201 E Mountain View Rd, Scottsdale, AZ 85258 Phone: 855-246-6287
Mr. Brett Lee Leifson, APRN MSN PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7373 N Scottsdale Rd Ste A199, Scottsdale, AZ 85253 Phone: 702-805-5360 Fax: 702-977-7488
Patricia Li, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15425 N Greenway Hayden Loop Ste A300, Scottsdale, AZ 85260 Phone: 480-607-1124 Fax: 480-607-1087
Marci Farquhar-snow, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000
Helen Walker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10200 N 92nd St Ste 150, Scottsdale, AZ 85258 Phone: 480-860-8488 Fax: 480-860-8498
Amy L Swanholm, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11333 N Scottsdale Rd Ste 230, Scottsdale, AZ 85254 Phone: 480-631-7373 Fax: 480-631-7374

Jada Jackson, FNP-BC - Medicare Nurse Practitioner in Scottsdale, AZ