Ms Angelique Mechelle Jackson, RN, APN-BC in Columbia, TN

Ms Angelique Mechelle Jackson, RN, APN-BC is a medicare enrolled "Nurse Practitioner - Family" in Columbia, Tennessee. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dhhs Ihs Phoenix Area and her current practice location is 1410 Trotwood Ave, Columbia, Tennessee. You can reach out to her office (for appointments etc.) via phone at (678) 754-7728.

Ms Angelique Mechelle Jackson is licensed to practice in Tennessee (license number 16345) 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 1144599366.

Contact Information

	Ms Angelique Mechelle Jackson, RN, APN-BC
	1410 Trotwood Ave, Columbia, TN 38401-4901
	(678) 754-7728
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Angelique Mechelle Jackson
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	1410 Trotwood Ave, Columbia, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Angelique Mechelle Jackson graduated from nursing school in 2012

NPI Data:

NPI Number: 1144599366
Provider Enumeration Date: 12/16/2011
Last Update Date: 01/13/2014

Medicare PECOS Information:

PECOS PAC ID: 3779759220
Enrollment ID: I20160315002895

Medical Identifiers

Medical identifiers for Ms Angelique Mechelle Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144599366	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	16345 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hopi Health Care Center	Polacca, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dhhs Ihs Phoenix Area	9436325420	23

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. Ms Angelique Mechelle Jackson allows following entities to bill medicare on her behalf.

Entity Name	Dhhs Ihs Phoenix Area
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356628028 PECOS PAC ID: 9436325420 Enrollment ID: O20120222000148

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. Ms Angelique Mechelle 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
Ms Angelique Mechelle Jackson, RN, APN-BC 3425 Maple Timber Dr, Antioch, TN 37013-5453 Ph: (678) 754-7728	Ms Angelique Mechelle Jackson, RN, APN-BC 1410 Trotwood Ave, Columbia, TN 38401-4901 Ph: (678) 754-7728

Reviews and Comments

Nurse Practitioner Nurses in Columbia, TN

Ms. Terri Christine Lacher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2150 Brookmeade Dr Ste 130, Columbia, TN 38401 Phone: 931-840-8525 Fax: 931-840-8535
Jennifer Ficke, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1040 N James M Campbell Blvd Ste 101, Columbia, TN 38401 Phone: 931-840-9991
Lori Natalie Duncan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Nashville Hwy, Columbia, TN 38401 Phone: 931-388-8965 Fax: 931-840-8520
Megan Gordon Manor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 Jenland Dr, Columbia, TN 38401 Phone: 931-381-3030 Fax: 931-381-6220
Ms. Racheal M Howell, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2150 Brookmeade Dr Ste 130, Columbia, TN 38401 Phone: 931-840-8525 Fax: 931-840-8535
Jeannie Auville Seaborn, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 915 S Garden St, Columbia, TN 38401 Phone: 931-548-8090
Christy M Cone, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1605 Nashville Hwy, Suite 200, Columbia, TN 38401 Phone: 931-540-4210 Fax: 931-380-1202

Ms Angelique Mechelle Jackson, RN, APN-BC - Medicare Nurse Practitioner in Columbia, TN