Lawanda Bevel Jackson, APRN in Clearwater, FL

Lawanda Bevel Jackson, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Clearwater, Florida. Her current practice location is 13575 58th St N Ste 200, Clearwater, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 563-1465.

Lawanda Bevel Jackson is licensed to practice in Florida (license number 9365258) 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 1558008789.

Contact Information

	Lawanda Bevel Jackson, APRN
	13575 58th St N Ste 200, Clearwater, FL 33760-3739
	(813) 563-1465
	(813) 336-8426

Map and Direction

Provider's Profile

Full Name	Lawanda Bevel Jackson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	13575 58th St N Ste 200, Clearwater, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558008789
Provider Enumeration Date: 05/18/2022
Last Update Date: 01/30/2025

Medicare PECOS Information:

PECOS PAC ID: 2769855287
Enrollment ID: I20230303001777

Medical Identifiers

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

Identifier	Type	State	Issuer
1558008789	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	9365258 (Florida)	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. Lawanda Bevel Jackson allows following entities to bill medicare on her behalf.

Entity Name	Dr Luisa Vega Dnp Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497123319 PECOS PAC ID: 3577872605 Enrollment ID: O20151012001431

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

Entity Name	Better My Future
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124849856 PECOS PAC ID: 6608302435 Enrollment ID: O20241204000583

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. Lawanda Bevel 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
Lawanda Bevel Jackson, APRN 13575 58th St N Ste 200, Clearwater, FL 33760-3739 Ph: (813) 563-1465	Lawanda Bevel Jackson, APRN 13575 58th St N Ste 200, Clearwater, FL 33760-3739 Ph: (813) 563-1465

Reviews and Comments

Nurse Practitioner Nurses in Clearwater, FL

Mrs. Deborah Cook Lauman, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14128 Spoonbill Ln, Clearwater, FL 33762 Phone: 727-481-7339
Alyssa Benson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14100 58th St N, Clearwater, FL 33760 Phone: 727-824-8181
Kerrie Michelle Coffman, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 455 Pinellas St, Suite 400, Clearwater, FL 33756 Phone: 727-445-1992
Asti Elizabeth Rego, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 802 N Belcher Rd, Clearwater, FL 33765 Phone: 727-447-3000
Mrs. Nancy Marie Smyth, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1831 N Belcher Rd Ste G1, Clearwater, FL 33765 Phone: 727-724-9656 Fax: 727-725-8589
Mrs. Pearl Owusu-bugyei, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 Druid Rd E, Clearwater, FL 33756 Phone: 727-824-8181
Twyla Newman, MS Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1437 S Belcher Rd, Clearwater, FL 33764 Phone: 727-524-4464

Lawanda Bevel Jackson, APRN - Medicare Nurse Practitioner in Clearwater, FL