Ms Courtney Tamara Jackson, NP in Valdosta, GA

Ms Courtney Tamara Jackson, NP is a medicare enrolled "Nurse Practitioner - Family" in Valdosta, Georgia. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pruitthealth Hospice Inc and her current practice location is 407 Cowart Ave, Valdosta, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 242-1187.

Ms Courtney Tamara Jackson is licensed to practice in Georgia (license number F09200417) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1457966509.

Contact Information

	Ms Courtney Tamara Jackson, NP
	407 Cowart Ave, Valdosta, GA 31602-2635
	(229) 242-1187
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Courtney Tamara Jackson
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	407 Cowart Ave, Valdosta, Georgia
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Courtney Tamara Jackson graduated from nursing school in 2020

NPI Data:

NPI Number: 1457966509
Provider Enumeration Date: 09/14/2020
Last Update Date: 09/14/2020

Medicare PECOS Information:

PECOS PAC ID: 5395143630
Enrollment ID: I20211018000913

Medical Identifiers

Medical identifiers for Ms Courtney Tamara Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457966509	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F09200417 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pruitthealth Hospice Inc	2264344217	24

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 Courtney Tamara Jackson allows following entities to bill medicare on her behalf.

Entity Name	Pruitthealth Hospice Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013955749 PECOS PAC ID: 2264344217 Enrollment ID: O20190702003113

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 Courtney Tamara 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 Courtney Tamara Jackson, NP 5380 Jackson Rd, Morven, GA 31638-3935 Ph: (229) 292-6275	Ms Courtney Tamara Jackson, NP 407 Cowart Ave, Valdosta, GA 31602-2635 Ph: (229) 242-1187

Reviews and Comments

Nurse Practitioner Nurses in Valdosta, GA

John Stephen Dodd, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4340 Fax: 259-259-4341
Vicki Wetter, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3120 N Oak Street Ext Ste G, Valdosta, GA 31602 Phone: 229-671-6130 Fax: 229-671-6764
Lindsey C Mcclain, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 W Northside Dr, Valdosta, GA 31602 Phone: 229-242-6061 Fax: 229-242-6151
Ms. Barbara Ann Pearce, ANP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4233 Camelot Xing, Valdosta, GA 31602 Phone: 229-469-4383 Fax: 229-469-4584
Mr. Nathan Kelly Roberson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4340 Kings Way, Valdosta, GA 31602 Phone: 229-333-9736
Mr. Robert Donald Keen, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2602 Rolling Rd, Valdosta, GA 31602 Phone: 229-560-4575
William Thomas Mulligan Jr., FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2409 N Patterson St # F3, Valdosta, GA 31602 Phone: 229-433-8160

Ms Courtney Tamara Jackson, NP - Medicare Nurse Practitioner in Valdosta, GA