Mary Marie Jackson, PMHNP-BC - Medicare Nurse Practitioner in Anderson, SC

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Mary Marie Jackson, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Anderson, South Carolina. Her current practice location is 102 Buford Ave Ste A, Anderson, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 280-6551.

Mary Marie Jackson is licensed to practice in South Carolina (license number 27133) 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 1215637301.

Contact Information

Mary Marie Jackson, PMHNP-BC
102 Buford Ave Ste A,
Anderson, SC 29621-3365
(864) 280-6551
Not Available

Map and Direction




Provider's Profile

Full NameMary Marie Jackson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location102 Buford Ave Ste A, Anderson, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215637301
  • Provider Enumeration Date: 03/07/2023
  • Last Update Date: 11/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8022465756
  • Enrollment ID: I20231116003390

Medical Identifiers

Medical identifiers for Mary Marie Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215637301NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 27133 (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. Mary Marie Jackson allows following entities to bill medicare on her behalf.
Entity NameAnmed Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710918321
PECOS PAC ID: 1951215243
Enrollment ID: O20031119000738
Entity NameAnmed Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639102270
PECOS PAC ID: 1951215243
Enrollment ID: O20040130000302
Entity NameErnest C. Martin, M.d., P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871555896
PECOS PAC ID: 5799764791
Enrollment ID: O20040714000966
Entity NameUpstate Wellness Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871362459
PECOS PAC ID: 8527406545
Enrollment ID: O20240409003803

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 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 AddressPractice Location Address
Mary Marie Jackson, PMHNP-BC
102 Buford Ave Ste A,
Anderson, SC 29621-3365

Ph: (864) 261-9506		Mary Marie Jackson, PMHNP-BC
102 Buford Ave Ste A,
Anderson, SC 29621-3365

Ph: (864) 280-6551

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.