Mary Jackson, - Medicare Nurse Practitioner in Dallas, TX

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Mary Jackson, is a medicare enrolled "Nurse Practitioner - Acute Care" in Dallas, Texas. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Bhs Physicians Network Inc, Southeast Texas Intensivists, Pllc and her current practice location is 5201 Harry Hines Blvd, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 590-8000.

Mary Jackson is licensed to practice in Oklahoma (license number 132732) 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 1124419015.

Contact Information

Mary Jackson,
5201 Harry Hines Blvd,
Dallas, TX 75235-7708
(214) 590-8000
Not Available

Map and Direction




Provider's Profile

Full NameMary Jackson
GenderFemale
SpecialityNurse Practitioner
Experience27 Years
Location5201 Harry Hines Blvd, Dallas, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Jackson graduated from nursing school in 1997
  NPI Data:
  • NPI Number: 1124419015
  • Provider Enumeration Date: 02/12/2015
  • Last Update Date: 09/03/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7113245259
  • Enrollment ID: I20150421001723

Medical Identifiers

Medical identifiers for Mary Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124419015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 132732 (Oklahoma)Primary
363LA2100XNurse Practitioner - Acute Care AP127185 (Texas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vhs Harlingen Hospital Company LlcHarlingen, TXHospital
Christus Southeast Texas- St ElizabethBeaumont, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bhs Physicians Network Inc7315019593612
Southeast Texas Intensivists, Pllc781034267244

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. Mary Jackson allows following entities to bill medicare on her behalf.
Entity NameChristus Trinity Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091
Entity NameBhs Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598958431
PECOS PAC ID: 7315019593
Enrollment ID: O20080703000069
Entity NamePrmc Healthcare Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457514648
PECOS PAC ID: 6406919901
Enrollment ID: O20090109000317
Entity NameTexas Ess Hospitalist Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235472556
PECOS PAC ID: 8921248162
Enrollment ID: O20140115001155
Entity NameEss Of Nacogdoches Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780139956
PECOS PAC ID: 3375821630
Enrollment ID: O20161021000335
Entity NameSoutheast Texas Intensivists, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801579867
PECOS PAC ID: 7810342672
Enrollment ID: O20231013001474

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. Mary 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 AddressPractice Location Address
Mary Jackson,
105 Wall St,
Poteau, OK 74953-4433

Ph: (918) 635-3566		Mary Jackson,
5201 Harry Hines Blvd,
Dallas, TX 75235-7708

Ph: (214) 590-8000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.