Jessica Renee Fordham, NP in Jackson, MS - Medicare Nurse Practitioner

Jessica Renee Fordham, NP is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Mississippi. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice River Oaks Management Company Llc, Baptist Medical Center - Yazoo, Inc. and her current practice location is 3800 I-55 North Frontage Rd, Suite 101, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 200-6880.

Jessica Renee Fordham is licensed to practice in Mississippi (license number 880822) 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 1982953402.

Contact Information

	Jessica Renee Fordham, NP
	3800 I-55 North Frontage Rd, Suite 101, Jackson, MS 39216
	(601) 200-6880
	(601) 200-6805

Map and Direction

Provider's Profile

Full Name	Jessica Renee Fordham
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	3800 I-55 North Frontage Rd, Jackson, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jessica Renee Fordham graduated from nursing school in 2012

NPI Data:

NPI Number: 1982953402
Provider Enumeration Date: 08/29/2012
Last Update Date: 12/22/2022

Medicare PECOS Information:

PECOS PAC ID: 8426295866
Enrollment ID: I20130502000468

Medical Identifiers

Medical identifiers for Jessica Renee Fordham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982953402	NPI	-	NPPES
007388276	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	880822 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Merit Health River Oaks	Flowood, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
River Oaks Management Company Llc	0345233110	37
Baptist Medical Center - Yazoo, Inc.	5799850376	8

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. Jessica Renee Fordham allows following entities to bill medicare on her behalf.

Entity Name	St. Dominic Jackson Memorial
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235173691 PECOS PAC ID: 4385531847 Enrollment ID: O20040301000818

Entity Name	River Oaks Management Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922029040 PECOS PAC ID: 0345233110 Enrollment ID: O20040407000093

Entity Name	Innovative Behaviorals Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578578092 PECOS PAC ID: 7517969850 Enrollment ID: O20070215000315

Entity Name	Flowood River Oaks Hma Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801128798 PECOS PAC ID: 5890825004 Enrollment ID: O20100615000668

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. Jessica Renee Fordham 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
Jessica Renee Fordham, NP 3800 I-55 North Frontage Rd, Suite 101, Jackson, MS 39216 Ph: (601) 200-6880	Jessica Renee Fordham, NP 3800 I-55 North Frontage Rd, Suite 101, Jackson, MS 39216 Ph: (601) 200-6880

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503
Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400

Jessica Renee Fordham, NP - Medicare Nurse Practitioner in Jackson, MS