Ms Katherine Jackson, FNP in Gilroy, CA - Medicare Nurse Practitioner

Ms Katherine Jackson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Gilroy, California. Her current practice location is 5810 Obata Way, Suite #1, Gilroy, California. You can reach out to her office (for appointments etc.) via phone at (408) 592-8371.

Ms Katherine Jackson is licensed to practice in California (license number 11795) 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 1528249638.

Contact Information

	Ms Katherine Jackson, FNP
	5810 Obata Way, Suite #1, Gilroy, CA 95020-7039
	(408) 592-8371
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Katherine Jackson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5810 Obata Way, Gilroy, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528249638
Provider Enumeration Date: 11/16/2007
Last Update Date: 11/16/2007

Medicare PECOS Information:

PECOS PAC ID: 0941362693
Enrollment ID: I20081215000517

Medical Identifiers

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

Identifier	Type	State	Issuer
1528249638	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11795 (California)	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. Ms Katherine Jackson allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881763597 PECOS PAC ID: 4284547274 Enrollment ID: O20031106000389

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Dept Of Surgery
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477627537 PECOS PAC ID: 7719886373 Enrollment ID: O20040102000839

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

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 Katherine 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 Katherine Jackson, FNP 5810 Obata Way, Suite #1, Gilroy, CA 95020-7039 Ph: (408) 592-8371	Ms Katherine Jackson, FNP 5810 Obata Way, Suite #1, Gilroy, CA 95020-7039 Ph: (408) 592-8371

Reviews and Comments

Nurse Practitioner Nurses in Gilroy, CA

Mary Rabitz, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7861 Murray Ave, Gilroy, CA 95020 Phone: 408-842-1017 Fax: 408-842-4186
Natasha Ahmadian, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 760 Renz Ln, Gilroy, CA 95020 Phone: 408-847-1739
Mary Mccafferty, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7861 Murray Ave, Gilroy, CA 95020 Phone: 408-842-1017 Fax: 408-842-4186
Zulaikha Akbery, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 760 Renz Ln, Gilroy, CA 95020 Phone: 408-795-3619 Fax: 408-287-0405
Aaron Ross Ledbetter, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 866 Sorrento Dr, Gilroy, CA 95020 Phone: 405-590-2068
Michelle Catherine Dohrmann, RN, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7520 Arroyo Cir, Gilroy, CA 95020 Phone: 408-846-2351
Yvonne Agupugo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7861 Murray Ave, Gilroy, CA 95020 Phone: 408-715-3088

Ms Katherine Jackson, FNP - Medicare Nurse Practitioner in Gilroy, CA