Mr Christopher John Jackson, AGACNP in Livonia, MI

Mr Christopher John Jackson, AGACNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Livonia, Michigan. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Henry Ford Medical Group and his current practice location is 8921 Harvey St, Livonia, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 815-6047.

Mr Christopher John Jackson is licensed to practice in Michigan (license number 4704297208) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427612480.

Contact Information

	Mr Christopher John Jackson, AGACNP
	8921 Harvey St, Livonia, MI 48150-3518
	(313) 815-6047
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Christopher John Jackson
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	8921 Harvey St, Livonia, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Christopher John Jackson graduated from nursing school in 2019

NPI Data:

NPI Number: 1427612480
Provider Enumeration Date: 04/25/2019
Last Update Date: 04/01/2021

Medicare PECOS Information:

PECOS PAC ID: 9537575659
Enrollment ID: I20210315001381

Medical Identifiers

Medical identifiers for Mr Christopher John Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427612480	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	4704297208 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Henry Ford Hospital	Detroit, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Medical Group	0547178311	2124

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. Mr Christopher John Jackson allows following entities to bill medicare on his behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341

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. Mr Christopher John 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
Mr Christopher John Jackson, AGACNP 8921 Harvey St, Livonia, MI 48150-3518 Ph: (313) 815-6047	Mr Christopher John Jackson, AGACNP 8921 Harvey St, Livonia, MI 48150-3518 Ph: (313) 815-6047

Reviews and Comments

Nurse Practitioner Nurses in Livonia, MI

Karen Satawa, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14555 Levan Rd Ste 309, Livonia, MI 48154 Phone: 734-462-5858 Fax: 734-462-5860
Brianne E Barrett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19000 St Joe's Parkway, Suite 420, Livonia, MI 48152 Phone: 734-712-4500 Fax: 734-712-4475
Dione Amber Wright, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36123 Schoolcraft Rd, Livonia, MI 48150 Phone: 734-464-0887
Karen Ann Loftus, MSN ANP BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18302 Middlebelt Rd, Livonia, MI 48152 Phone: 248-478-1500 Fax: 248-478-2798
Kathleen Marie Isley, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36123 Schoolcraft Rd, Livonia, MI 48150 Phone: 734-464-0887 Fax: 734-402-0254
Leah Marie London, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14555 Levan Rd Ste 116, Livonia, MI 48154 Phone: 734-712-1400
Annette Taylor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36123 Schoolcraft Rd., Livonia, MI 48150 Phone: 734-793-6140

Mr Christopher John Jackson, AGACNP - Medicare Nurse Practitioner in Livonia, MI