Kathleen J Jackson, RN-APN - Medicare Nurse Practitioner in Haddon Township, NJ

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Kathleen J Jackson, RN-APN is a medicare enrolled "Nurse Practitioner - Family" in Haddon Township, New Jersey. Her current practice location is 602 W Cuthbert Blvd Unit 26, Haddon Township, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 946-5180.

Kathleen J Jackson is licensed to practice in New Jersey (license number 26NN06425500) 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 1073619037.

Contact Information

Kathleen J Jackson, RN-APN
602 W Cuthbert Blvd Unit 26,
Haddon Township, NJ 08108-3642
(856) 946-5180
(856) 946-5181

Map and Direction




Provider's Profile

Full NameKathleen J Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location602 W Cuthbert Blvd Unit 26, Haddon Township, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073619037
  • Provider Enumeration Date: 09/16/2006
  • Last Update Date: 09/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8224129002
  • Enrollment ID: I20070808000496

Medical Identifiers

Medical identifiers for Kathleen J Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073619037NPI-NPPES
9765851OtherNJCIGNA
60037187OtherNJHORIZON NJ HEALTH
P3845837/2854869OtherNJOXFORD/UNITED HLTH.
8780803MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner TP001754C (Pennsylvania)Secondary
363LA2200XNurse Practitioner - Adult Health 26NN06425500 (New Jersey)Secondary
363LF0000XNurse Practitioner - Family 26NN06425500 (New Jersey)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. Kathleen J Jackson allows following entities to bill medicare on her behalf.
Entity NameVirtua Medical Group, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649226515
PECOS PAC ID: 9830222397
Enrollment ID: O20100804000338

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. Kathleen J 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 AddressPractice Location Address
Kathleen J Jackson, RN-APN
602 Wcuthbert Blvd Unit 26 Ste A, Unit 26, Suite A,
Westmont, NJ 08108-4197

Ph: (856) 946-5180		Kathleen J Jackson, RN-APN
602 W Cuthbert Blvd Unit 26,
Haddon Township, NJ 08108-3642

Ph: (856) 946-5180

Reviews and Comments


Nurse Practitioner Nurses in Haddon Township, NJ

Tyreasea Anicha Johnson-mason, NP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 215 Highland Ave Ste 100, Haddon Township, NJ 08108
Phone: 609-350-4792    Fax: 856-823-1922
Amy Parker, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 602 W Cuthbert Blvd Unit 26, Haddon Township, NJ 08108
Phone: 856-946-5180    Fax: 856-946-5181
Roisin Harvey, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 114 W Albertson Ave, Haddon Township, NJ 08108
Phone: 203-217-9221    
Dr. Dara Whalen, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8 Haddon Ave, Haddon Township, NJ 08108
Phone: 856-869-7504    
Kelli Bianchini, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9 Virginia Ave, Haddon Township, NJ 08108
Phone: 856-577-9581    

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.