Lori Jackson, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Saint George Island, Alaska. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Aleutian Pribilof Islands Association Inc and her current practice location is
934 Main St, Saint George Island, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 859-2254.
Lori Jackson is licensed to practice in Alaska (license number 130523) 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 1528565710.
Provider's Profile
| Full Name | Lori Jackson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 934 Main St, Saint George Island, Alaska |
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| Accepts Medicare Assignments | Yes. She 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:
- Lori Jackson graduated from nursing school in 2017
NPI Data:
- NPI Number: 1528565710
- Provider Enumeration Date: 04/12/2018
- Last Update Date: 06/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 7618300740
- Enrollment ID: I20191204001141
Medical Identifiers
Medical identifiers for Lori Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528565710 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 130523 (Alaska) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Aleutian Pribilof Islands Association Inc | 0648310656 | 11 |
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. Lori Jackson allows following entities to bill medicare on her behalf.
| Entity Name | Aleutian Pribilof Islands Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093939233
PECOS PAC ID: 0648310656
Enrollment ID: O20140225001523 |
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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. Lori 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 |
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Lori Jackson, NP-C
17115 Monroe Dr Nw,
Elk River, MN 55330-4307
Ph: (612) 239-3393 | Lori Jackson, NP-C
934 Main St,
Saint George Island, AK 99591
Ph: (907) 859-2254 |
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