Mrs Deanna Louise Jackson, CRNP - Medicare Nurse Practitioner in Memphis, TN

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Mrs Deanna Louise Jackson, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Memphis, Tennessee. Her current practice location is 1169 Jefferson Ave, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 425-1880.

Mrs Deanna Louise Jackson is licensed to practice in Tennessee (license number 16920) 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 1184911943.

Contact Information

Mrs Deanna Louise Jackson, CRNP
1169 Jefferson Ave,
Memphis, TN 38104-7217
(901) 425-1880
Not Available

Map and Direction




Provider's Profile

Full NameMrs Deanna Louise Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location1169 Jefferson Ave, Memphis, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184911943
  • Provider Enumeration Date: 06/30/2011
  • Last Update Date: 08/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8820268543
  • Enrollment ID: I20121016000383

Medical Identifiers

Medical identifiers for Mrs Deanna Louise Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184911943NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 16920 (Tennessee)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. Mrs Deanna Louise Jackson allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112
Entity NameDar Salud Care, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598018806
PECOS PAC ID: 5890929418
Enrollment ID: O20131014000776
Entity NameApp Of Tennessee Hm, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396160768
PECOS PAC ID: 5395960694
Enrollment ID: O20140630001088

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. Mrs Deanna Louise 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
Mrs Deanna Louise Jackson, CRNP
12900 Park Plaza Dr Ste 150,
Cerritos, CA 90703-9329

Ph: (562) 622-2800		Mrs Deanna Louise Jackson, CRNP
1169 Jefferson Ave,
Memphis, TN 38104-7217

Ph: (901) 425-1880

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).

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