Mrs Jami Victoria Davis-jackson, ACNP BC - Medicare Nurse Practitioner in Alton, IL

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Mrs Jami Victoria Davis-jackson, ACNP BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Alton, Illinois. She went to St. Louis College Of Physicians And Surgeons and graduated in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeastern Physician Services Pc, 24 On Physicians Pc and her current practice location is 1 Saint Anthonys Way, Alton, Illinois. You can reach out to her office (for appointments etc.) via phone at (314) 317-0600.

Mrs Jami Victoria Davis-jackson is licensed to practice in Illinois (license number 209-007873) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629243886.

Contact Information

Mrs Jami Victoria Davis-jackson, ACNP BC
1 Saint Anthonys Way,
Alton, IL 62002-4568
(314) 317-0600
(314) 317-0606

Map and Direction




Provider's Profile

Full NameMrs Jami Victoria Davis-jackson
GenderFemale
SpecialityNurse Practitioner
Experience19 Years
Location1 Saint Anthonys Way, Alton, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Jami Victoria Davis-jackson attended and graduated from St. Louis College Of Physicians And Surgeons in 2005
  NPI Data:
  • NPI Number: 1629243886
  • Provider Enumeration Date: 04/28/2008
  • Last Update Date: 04/22/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7810050804
  • Enrollment ID: I20090119000031

Medical Identifiers

Medical identifiers for Mrs Jami Victoria Davis-jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629243886NPI-NPPES
1629243886MedicaidIL
1629243886MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 209-007873 (Illinois)Primary
363LA2100XNurse Practitioner - Acute Care 2001031602 (Missouri)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christian Hospital NortheastSaint louis, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Physician Services Pc0042307852499
24 On Physicians Pc5698688141237

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 Jami Victoria Davis-jackson allows following entities to bill medicare on her behalf.
Entity NameCogent Healthcare Of Missouri Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780961599
PECOS PAC ID: 5597925099
Enrollment ID: O20120320000863
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20160809000235
Entity NameIpc Pac Healthcare Services Of Missouri Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326497587
PECOS PAC ID: 4587950589
Enrollment ID: O20160830002898
Entity NameSt Charles Physician Services Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609317205
PECOS PAC ID: 5698052694
Enrollment ID: O20170428002056
Entity NameForest Physician Services, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548791676
PECOS PAC ID: 8325325202
Enrollment ID: O20170502000753
Entity NameSound Physicians Of Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043598865
PECOS PAC ID: 1557533734
Enrollment ID: O20170519000666
Entity NameHospitalist Medicine Physicians Of Missouri - Richmond Heights Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265911440
PECOS PAC ID: 2961753975
Enrollment ID: O20181001001336
Entity NameHospitalist Medicine Physicians Of Missouri - Bridgeton, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275012452
PECOS PAC ID: 2567713571
Enrollment ID: O20181001001537

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 Jami Victoria Davis-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 Jami Victoria Davis-jackson, ACNP BC
12101 Woodcrest Executive Dr, Suite 210,
Saint Louis, MO 63141-5047

Ph: (314) 317-0600		Mrs Jami Victoria Davis-jackson, ACNP BC
1 Saint Anthonys Way,
Alton, IL 62002-4568

Ph: (314) 317-0600

Reviews and Comments


Nurse Practitioner Nurses in Alton, IL

Mrs. Misty D Biciocchi, FNP
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Lee A Tardino, MSN ANP
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Jodi R Lutz, NP
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Lisa K James, ANP
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Lindsey Nicole Erickson, NP
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Laura L Brandenburg, FNP
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Kelsey M Beard, FNP-BC, DNP
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Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002
Phone: 618-463-5905    Fax: 618-463-5035

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.