Lateshia Jackson, in Easton, MD - Medicare Nurse Practitioner

Lateshia Jackson, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Easton, Maryland. Her current practice location is 8737 Brooks Dr Ste 108, Easton, Maryland. You can reach out to her office (for appointments etc.) via phone at (800) 867-2395.

Lateshia Jackson is licensed to practice in Maryland (license number R193593) 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 1063840262.

Contact Information

	Lateshia Jackson,
	8737 Brooks Dr Ste 108, Easton, MD 21601-7474
	(800) 867-2395
	(410) 443-4960

Map and Direction

Provider's Profile

Full Name	Lateshia Jackson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	8737 Brooks Dr Ste 108, Easton, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063840262
Provider Enumeration Date: 10/24/2013
Last Update Date: 09/18/2019

Medicare PECOS Information:

PECOS PAC ID: 5799916011
Enrollment ID: I20140328001405

Medical Identifiers

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

Identifier	Type	State	Issuer
1063840262	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R193593 (Maryland)	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. Lateshia Jackson allows following entities to bill medicare on her behalf.

Entity Name	Upper Bay Counseling & Support Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316912652 PECOS PAC ID: 3971405085 Enrollment ID: O20040121000129

Entity Name	Arundel Lodge, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225213507 PECOS PAC ID: 8123197050 Enrollment ID: O20080519000639

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. Lateshia 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
Lateshia Jackson, 8142 Harold Ct, Glen Burnie, MD 21061-4960 Ph: (202) 253-3588	Lateshia Jackson, 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 Ph: (800) 867-2395

Reviews and Comments

Nurse Practitioner Nurses in Easton, MD

Messanvi M Gozo, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Dutchmans Ln, Easton, MD 21601 Phone: 410-548-2343 Fax: 844-332-3891
Rosemary Daddona, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8579 Commerce Dr Ste 106, Easton, MD 21601 Phone: 410-819-0404
Mrs. Lisa Marie Roser, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 511 Idlewild Ave, Easton, MD 21601 Phone: 410-822-6005 Fax: 410-822-9253
Anna Marie Chamberlain, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8579 Commerce Dr Ste 104, Easton, MD 21601 Phone: 410-822-9133 Fax: 410-822-9513
Susan Delean-botkin, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8579 Commerce Dr, Suite 106, Easton, MD 21601 Phone: 410-819-0404 Fax: 410-819-0751
Lisette Vazquez, NP, RNFA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8837 Roundhouse Cir, Easton, MD 21601 Phone: 443-481-3201 Fax: 443-481-6515
Olga Sergeyevna Negrete, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Cadmus Ln, Easton, MD 21601 Phone: 443-362-2579

Lateshia Jackson, - Medicare Nurse Practitioner in Easton, MD