Mr Kevin Eric Glenn Jackson, MSN, APRN, FNP-C in Flowery Branch, GA

Mr Kevin Eric Glenn Jackson, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Flowery Branch, Georgia. His current practice location is 4038 Winder Hwy, Flowery Branch, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 693-2364.

Mr Kevin Eric Glenn Jackson is licensed to practice in Georgia (license number RN231401) 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 1861185753.

Contact Information

	Mr Kevin Eric Glenn Jackson, MSN, APRN, FNP-C
	4038 Winder Hwy, Flowery Branch, GA 30542-3021
	(678) 693-2364
	(470) 778-2123

Map and Direction

Provider's Profile

Full Name	Mr Kevin Eric Glenn Jackson
Gender	Male
Speciality	Nurse Practitioner - Family
Location	4038 Winder Hwy, Flowery Branch, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861185753
Provider Enumeration Date: 05/29/2023
Last Update Date: 11/11/2024

Medicare PECOS Information:

PECOS PAC ID: 2769842475
Enrollment ID: I20230713000431

Medical Identifiers

Medical identifiers for Mr Kevin Eric Glenn Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861185753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN231401 (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 Kevin Eric Glenn Jackson allows following entities to bill medicare on his behalf.

Entity Name	Georgia Mountains Health Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538123666 PECOS PAC ID: 7719974831 Enrollment ID: O20040429000383

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 Kevin Eric Glenn 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 Kevin Eric Glenn Jackson, MSN, APRN, FNP-C 4038 Winder Hwy, Flowery Branch, GA 30542-3021 Ph: (678) 693-2364	Mr Kevin Eric Glenn Jackson, MSN, APRN, FNP-C 4038 Winder Hwy, Flowery Branch, GA 30542-3021 Ph: (678) 693-2364

Reviews and Comments

Nurse Practitioner Nurses in Flowery Branch, GA

Ms. Barbara Jean Meister, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4595 Cantrell Rd, Flowery Branch, GA 30542 Phone: 404-290-7440 Fax: 770-967-6875
Catherine Roberts, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5088 Oak Farm Way, Flowery Branch, GA 30542 Phone: 770-965-0515 Fax: 770-965-6563
Patricia Shelton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7316 Spout Springs Rd Ste 203, Flowery Branch, GA 30542 Phone: 678-205-8387
Mrs. Shaniqua Lynee Sims, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4754 Martin Rd, Flowery Branch, GA 30542 Phone: 770-848-9130
Jean Lee Varner, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4038 Winder Hwy, Flowery Branch, GA 30542 Phone: 678-693-2364
Mrs. Kiara Nicole Poloney, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5538 River Valley Way, Flowery Branch, GA 30542 Phone: 678-977-1694
Mrs. Kaitlyn Sierra Mcmillian, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4456 Sandhurst Pl, Flowery Branch, GA 30542 Phone: 706-968-5471

Mr Kevin Eric Glenn Jackson, MSN, APRN, FNP-C - Medicare Nurse Practitioner in Flowery Branch, GA