Lesa Marie Jackson, APRN in Irmo, SC - Medicare Nurse Practitioner

Lesa Marie Jackson, APRN is a medicare enrolled "Nurse Practitioner - Family" in Irmo, South Carolina. Her current practice location is 14 Raintree Ct, Irmo, South Carolina. You can reach out to her office (for appointments etc.) via phone at (417) 459-3020.

Lesa Marie Jackson is licensed to practice in South Carolina (license number 23640) 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 1518570589.

Contact Information

	Lesa Marie Jackson, APRN
	14 Raintree Ct, Irmo, SC 29063-9431
	(417) 459-3020
	Not Available

Map and Direction

Provider's Profile

Full Name	Lesa Marie Jackson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	14 Raintree Ct, Irmo, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518570589
Provider Enumeration Date: 08/28/2020
Last Update Date: 08/28/2020

Medicare PECOS Information:

PECOS PAC ID: 1557736253
Enrollment ID: I20230411002655

Medical Identifiers

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

Identifier	Type	State	Issuer
1518570589	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	23640 (South Carolina)	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. Lesa Marie Jackson allows following entities to bill medicare on her behalf.

Entity Name	Urgent Care Now Inc A California Professional Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740881457 PECOS PAC ID: 1456758085 Enrollment ID: O20211204000301

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. Lesa 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
Lesa Marie Jackson, APRN 14 Raintree Ct, Irmo, SC 29063-9431 Ph: (417) 459-3020	Lesa Marie Jackson, APRN 14 Raintree Ct, Irmo, SC 29063-9431 Ph: (417) 459-3020

Reviews and Comments

Nurse Practitioner Nurses in Irmo, SC

Ashley Nichole Baxley, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050
Alicia Pendergrass, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Wellness Blvd Ste 203, Irmo, SC 29063 Phone: 803-749-9920 Fax: 803-749-9916
Mrs. Julia P Hoeft, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 Dutch Fork Rd, Irmo, SC 29063 Phone: 866-389-2727
Ms. Louise C. Holmes, MN,RN, CANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7430 College St, Irmo, SC 29063 Phone: 803-732-4001 Fax: 803-732-2123
Mrs. Stefanie Lee Gunn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050
Mrs. Rachel Strange, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050
Janeen Jensen Wood, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1008 Lake Murray Blvd, Irmo, SC 29063 Phone: 803-749-3840

Lesa Marie Jackson, APRN - Medicare Nurse Practitioner in Irmo, SC