Mrs Keianna Renae Luckett, DNP, AGACNP-BC in Jackson, MS

Mrs Keianna Renae Luckett, DNP, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Jackson, Mississippi. Her current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 984-1000.

Mrs Keianna Renae Luckett is licensed to practice in Mississippi (license number 906053) 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 1992480859.

Contact Information

	Mrs Keianna Renae Luckett, DNP, AGACNP-BC
	2500 N State St, Jackson, MS 39216-4500
	(601) 984-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Keianna Renae Luckett
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	2500 N State St, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992480859
Provider Enumeration Date: 06/19/2023
Last Update Date: 06/19/2023

Medicare PECOS Information:

PECOS PAC ID: 1052760881
Enrollment ID: I20231205003871

Medical Identifiers

Medical identifiers for Mrs Keianna Renae Luckett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992480859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	906053 (Mississippi)	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 Keianna Renae Luckett allows following entities to bill medicare on her behalf.

Entity Name	Quinn Healthcare,pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821103920 PECOS PAC ID: 6204802796 Enrollment ID: O20040907000573

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

Entity Name	Quinn Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396502589 PECOS PAC ID: 1153760574 Enrollment ID: O20240418001732

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 Keianna Renae Luckett 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
Mrs Keianna Renae Luckett, DNP, AGACNP-BC 112 Brierfield Dr, Madison, MS 39110-7768 Ph: (601) 213-6767	Mrs Keianna Renae Luckett, DNP, AGACNP-BC 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-1000

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503
Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400

Mrs Keianna Renae Luckett, DNP, AGACNP-BC - Medicare Nurse Practitioner in Jackson, MS