Kelly L Donnell-jackson, RN, MSN, APN-C in Mount Laurel, NJ

Kelly L Donnell-jackson, RN, MSN, APN-C is a medicare enrolled "Nurse Practitioner - Family" in Mount Laurel, New Jersey. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Princeton Endocrinology Associates Llc, Endocrinology Associates, Llc and her current practice location is 1015 Briggs Rd, Mount Laurel, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 727-0900.

Kelly L Donnell-jackson is licensed to practice in New Jersey (license number 26NJ00060400) 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 1649475765.

Contact Information

	Kelly L Donnell-jackson, RN, MSN, APN-C
	1015 Briggs Rd, Mount Laurel, NJ 08054-4115
	(856) 727-0900
	(856) 231-8428

Map and Direction

Provider's Profile

Full Name	Kelly L Donnell-jackson
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	1015 Briggs Rd, Mount Laurel, New Jersey
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:

Kelly L Donnell-jackson graduated from nursing school in 2013

NPI Data:

NPI Number: 1649475765
Provider Enumeration Date: 06/19/2007
Last Update Date: 10/20/2020

Medicare PECOS Information:

PECOS PAC ID: 8921185026
Enrollment ID: I20080414000076

Medical Identifiers

Medical identifiers for Kelly L Donnell-jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649475765	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	26NR09192400 (New Jersey)	Secondary
363L00000X	Nurse Practitioner	SP010454 (Pennsylvania)	Secondary
363LF0000X	Nurse Practitioner - Family	26NJ00060400 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Princeton Endocrinology Associates Llc	4688730922	3
Endocrinology Associates, Llc	7214025089	2

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. Kelly L Donnell-jackson allows following entities to bill medicare on her behalf.

Entity Name	Princeton Endocrinology Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356587505 PECOS PAC ID: 4688730922 Enrollment ID: O20090311000497

Entity Name	Virtua Medical Group, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Kelly L Donnell-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
Kelly L Donnell-jackson, RN, MSN, APN-C 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: (856) 355-0340	Kelly L Donnell-jackson, RN, MSN, APN-C 1015 Briggs Rd, Mount Laurel, NJ 08054-4115 Ph: (856) 727-0900

Reviews and Comments

Nurse Practitioner Nurses in Mount Laurel, NJ

Mrs. Dianna M Shinkarow, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Century Pkwy Ste 140, Mount Laurel, NJ 08054 Phone: 856-380-2400 Fax: 856-234-7870
Ms. Erin Lynn Mccormick, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Fellowship Rd, Mount Laurel, NJ 08054 Phone: 856-642-2133
Mrs. Tieshau Middlebrooks, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 S Church St Ste 20, Mount Laurel, NJ 08054 Phone: 609-937-3491 Fax: 609-853-0221
Megan Canavan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3201 Marne Hwy, Mount Laurel, NJ 08054 Phone: 856-235-2147
Stephanie Ann Rogers, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054 Phone: 609-712-0796
Jacqueline Burns, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3111 Route 38 Ste 11, Pmb 120, Mount Laurel, NJ 08054 Phone: 609-261-5755 Fax: 609-261-7199
Tracie Hawkins, MSN, APN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3906 Church Rd, Mount Laurel, NJ 08054 Phone: 856-266-5260

Kelly L Donnell-jackson, RN, MSN, APN-C - Medicare Nurse Practitioner in Mount Laurel, NJ