Kenneth S Jackson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bruceton, Tennessee. His current practice location is
123 Maple St, Bruceton, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 586-4800.
Kenneth S Jackson is licensed to practice in Tennessee (license number 17382) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811237001.
Provider's Profile
| Full Name | Kenneth S Jackson |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 123 Maple St, Bruceton, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kenneth S Jackson attended and graduated from in
NPI Data:
- NPI Number: 1811237001
- Provider Enumeration Date: 02/25/2013
- Last Update Date: 02/28/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kenneth S Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811237001 | NPI | - | NPPES |
| 3380640 | Other | TN | GROUP MEDICAID |
| 3380640 | Other | TN | GROUP MEDICARE |
| 10350I2435 | Other | TN | MEDICARE PTAN |
| Q001235 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 17382 (Tennessee) | Primary |
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. Kenneth S 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 |
|---|
Kenneth S Jackson, FNP
205 Hospital Dr, Suite A,
Mc Kenzie, TN 38201-1649
Ph: (731) 352-7907 | Kenneth S Jackson, FNP
123 Maple St,
Bruceton, TN 38317-1819
Ph: (731) 586-4800 |
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