Ms Simone D Jackson, ANP in Horsham, PA - Medicare Nurse Practitioner

Ms Simone D Jackson, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Horsham, Pennsylvania. Her current practice location is 680 Blair Mill Rd, Horsham, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 902-9014.

Ms Simone D Jackson is licensed to practice in Pennsylvania (license number SP019087) 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 1871041657.

Contact Information

	Ms Simone D Jackson, ANP
	680 Blair Mill Rd, Horsham, PA 19044-2223
	(215) 902-9014
	(877) 383-8544

Map and Direction

Provider's Profile

Full Name	Ms Simone D Jackson
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	680 Blair Mill Rd, Horsham, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871041657
Provider Enumeration Date: 09/21/2016
Last Update Date: 10/31/2018

Medicare PECOS Information:

PECOS PAC ID: 0840588166
Enrollment ID: I20191030001154

Medical Identifiers

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

Identifier	Type	State	Issuer
1871041657	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	RN162091 (Georgia)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	SP019087 (Pennsylvania)	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 Simone D Jackson allows following entities to bill medicare on her behalf.

Entity Name	Villagehealth Dm Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598273211 PECOS PAC ID: 2769812445 Enrollment ID: O20200427002050

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 Simone D 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 Simone D Jackson, ANP 680 Blair Mill Rd, Horsham, PA 19044-2223 Ph: (267) 908-2465	Ms Simone D Jackson, ANP 680 Blair Mill Rd, Horsham, PA 19044-2223 Ph: (215) 902-9014

Reviews and Comments

Nurse Practitioner Nurses in Horsham, PA

Cynthia J Barrow, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3 Village Rd, Suite 100, Horsham, PA 19044 Phone: 215-884-7114 Fax: 215-884-7147
Mrs. Diane Louise Troutman, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 680 Blair Mill Rd, Horsham, PA 19044 Phone: 717-919-6300
Alice Beatrice Wilson-horton, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 Horsham Rd, Horsham, PA 19044 Phone: 267-422-8240
Amy Susan Blake, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 680 Blair Mill Rd, Horsham, PA 19044 Phone: 302-304-6341
Hiral Patel, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 680 Blair Mill Rd, Horsham, PA 19044 Phone: 215-902-9020
Vanessa Rae Fischer, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 680 Blair Mill Rd, Horsham, PA 19044 Phone: 412-956-5567
Tamika Mickie, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 680 Blair Mill Rd, Horsham, PA 19044 Phone: 484-781-5933

Ms Simone D Jackson, ANP - Medicare Nurse Practitioner in Horsham, PA