Kimberly Marie Jackson, ACNPC-AG in Conway, SC

Kimberly Marie Jackson, ACNPC-AG is a medicare enrolled "Nurse Practitioner" in Conway, South Carolina. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Orthosc Llc and her current practice location is 2376 Cypress Cir Ste 300, Conway, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 353-3460.

Kimberly Marie Jackson is licensed to practice in South Carolina (license number 20986) 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 1336682780.

Contact Information

	Kimberly Marie Jackson, ACNPC-AG
	2376 Cypress Cir Ste 300, Conway, SC 29526-8995
	(843) 353-3460
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Marie Jackson
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	2376 Cypress Cir Ste 300, Conway, South Carolina
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:

Kimberly Marie Jackson graduated from nursing school in 2016

NPI Data:

NPI Number: 1336682780
Provider Enumeration Date: 12/02/2016
Last Update Date: 07/20/2022

Medicare PECOS Information:

PECOS PAC ID: 2668744947
Enrollment ID: I20170822000147

Medical Identifiers

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

Identifier	Type	State	Issuer
1336682780	NPI	-	NPPES
20986	Other	SC	SC NURSING BOARD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	20986 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Conway Medical Center	Conway, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthosc Llc	8022370030	81

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. Kimberly Marie Jackson allows following entities to bill medicare on her behalf.

Entity Name	Orthosc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861902728 PECOS PAC ID: 8022370030 Enrollment ID: O20180501000455

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. Kimberly Marie 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
Kimberly Marie Jackson, ACNPC-AG 210 Village Center Blvd Ste 140, Myrtle Beach, SC 29579-6706 Ph: (843) 353-3460	Kimberly Marie Jackson, ACNPC-AG 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 Ph: (843) 353-3460

Reviews and Comments

Nurse Practitioner Nurses in Conway, SC

Mrs. Danielle Karin Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 251 University Blvd, Conway, SC 29526 Phone: 843-349-6543
Mr. Jonathan D. Briggs, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 Highway 90, Conway, SC 29526 Phone: 843-399-3377 Fax: 843-399-3378
Linda Lee Queen, ARPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1608 Main St, Conway, SC 29526 Phone: 843-248-4700 Fax: 843-248-3145
Dr. Karen Jeanette Smith, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2996 E Highway 501, Conway, SC 29526 Phone: 843-347-2613
Betsy L Paul, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1113 Church St, Conway, SC 29526 Phone: 843-248-6269
Diana L Taylor, DNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 Professional Park Drive, Conway, SC 29526 Phone: 843-234-5678
Anooja Nair, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 834 Farrar Dr, Conway, SC 29526 Phone: 843-497-7275

Kimberly Marie Jackson, ACNPC-AG - Medicare Nurse Practitioner in Conway, SC