Ms Kimberly A Jackson, PMHNP, FNP - Medicare Nurse Practitioner in Baldwin Place, NY

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Ms Kimberly A Jackson, PMHNP, FNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Baldwin Place, New York. Her current practice location is 49 Clayton Blvd Apt 323, Baldwin Place, New York. You can reach out to her office (for appointments etc.) via phone at (914) 343-3149.

Ms Kimberly A Jackson is licensed to practice in New York (license number 403954) 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 1083923353.

Contact Information

Ms Kimberly A Jackson, PMHNP, FNP
49 Clayton Blvd Apt 323,
Baldwin Place, NY 10505-2058
(914) 343-3149
(878) 213-4061

Map and Direction




Provider's Profile

Full NameMs Kimberly A Jackson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location49 Clayton Blvd Apt 323, Baldwin Place, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083923353
  • Provider Enumeration Date: 10/04/2010
  • Last Update Date: 01/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4981892551
  • Enrollment ID: I20110105001268

Medical Identifiers

Medical identifiers for Ms Kimberly A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083923353NPI-NPPES
03280733MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 12.007638 (Connecticut)Secondary
363LF0000XNurse Practitioner - Family 336506 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 403954 (New York)Primary

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 Kimberly A 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 AddressPractice Location Address
Ms Kimberly A Jackson, PMHNP, FNP
49 Clayton Blvd Apt 323,
Baldwin Place, NY 10505-2058

Ph: (914) 343-3149		Ms Kimberly A Jackson, PMHNP, FNP
49 Clayton Blvd Apt 323,
Baldwin Place, NY 10505-2058

Ph: (914) 343-3149

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Nurse Practitioner Nurses in Baldwin Place, NY


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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