Mrs Sheena Anniece Jackson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Johnson, Louisiana. Her current practice location is
1585 3rd St, Fort Johnson, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(337) 718-2889.
Mrs Sheena Anniece Jackson is licensed to practice in Texas (license number 1048628) 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 1962034389.
Provider's Profile
Full Name | Mrs Sheena Anniece Jackson |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 1585 3rd St, Fort Johnson, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962034389
- Provider Enumeration Date: 02/05/2020
- Last Update Date: 09/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810371960
- Enrollment ID: I20220912000877
Medical Identifiers
Medical identifiers for Mrs Sheena Anniece Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962034389 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 1048628 (Texas) | 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 Sheena Anniece Jackson allows following entities to bill medicare on her behalf.
Entity Name | Texas Ams Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174926125 PECOS PAC ID: 9133441769 Enrollment ID: O20141209001912 |
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Entity Name | El Paso Ams Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134740202 PECOS PAC ID: 9931520970 Enrollment ID: O20200601000147 |
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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 Sheena Anniece 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 |
Mrs Sheena Anniece Jackson, CRNA 6913 Diamond Ridge Dr, El Paso, TX 79912-7697 Ph: (314) 532-6792 | Mrs Sheena Anniece Jackson, CRNA 1585 3rd St, Fort Johnson, LA 71459-5102 Ph: (337) 718-2889 |
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