Mr Ellis R Jackson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Macon, GA

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Mr Ellis R Jackson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Macon, Georgia. His current practice location is 610 3rd St, Macon, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 344-6080.

Mr Ellis R Jackson is licensed to practice in Georgia (license number RN066377) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659362283.

Contact Information

Mr Ellis R Jackson, CRNA
610 3rd St,
Macon, GA 31201-3294
(229) 344-6080
(229) 436-8649

Map and Direction




Provider's Profile

Full NameMr Ellis R Jackson
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location610 3rd St, Macon, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659362283
  • Provider Enumeration Date: 11/02/2005
  • Last Update Date: 04/12/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9436123783
  • Enrollment ID: I20040823000699

Medical Identifiers

Medical identifiers for Mr Ellis R Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659362283NPI-NPPES
334081730AMedicaidGA
P00220709OtherGARR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN066377 (Georgia)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. Mr Ellis R Jackson allows following entities to bill medicare on his behalf.
Entity NameAnesthesia Associates Of Macon Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083720478
PECOS PAC ID: 5799698601
Enrollment ID: O20031107000003
Entity NameColquitt Regional Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154580512
PECOS PAC ID: 2860563665
Enrollment ID: O20080623000359
Entity NamePhoebe Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487899464
PECOS PAC ID: 8426112350
Enrollment ID: O20090121000583
Entity NameXenon Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366865123
PECOS PAC ID: 5597081067
Enrollment ID: O20150226001972
Entity NameMacon Gastroenterology Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922463132
PECOS PAC ID: 3274835004
Enrollment ID: O20160111000839
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20200508002106

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 Ellis R 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
Mr Ellis R Jackson, CRNA
427 Fussell Rd,
Leesburg, GA 31763-5210

Ph: (229) 344-6080		Mr Ellis R Jackson, CRNA
610 3rd St,
Macon, GA 31201-3294

Ph: (229) 344-6080

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Macon, GA

Virginia Garrison Crouse, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217
Phone: 478-746-5644    Fax: 478-745-4849
Angela D Jenkins I, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 380 Hospital Dr., Ste 410, Macon, GA 31217
Phone: 478-746-5644    Fax: 478-745-4849
Richard A Scherer, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 777 Hemlock St, Macon, GA 31201
Phone: 866-507-5244    Fax: 855-851-4405
Demetra D Mcglothin, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 777 Hemlock St, Macon, GA 31201
Phone: 866-507-5244    Fax: 855-851-4405
Mr. Keath L. Morgan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217
Phone: 478-746-5644    Fax: 478-745-4849
Kelli Smith, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217
Phone: 478-746-5644    Fax: 478-745-4849
Rickey King, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 777 Hemlock St, Macon, GA 31201
Phone: 478-633-6706    Fax: 478-633-5384

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.