Pharnethia Goodman Jackson, NP-C in Suffolk, VA

Pharnethia Goodman Jackson, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Suffolk, Virginia. She graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ivyrehab Sept, Llc, Sentara Medical Group and her current practice location is 2760 Godwin Blvd Ste 100, Suffolk, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 983-8650.

Pharnethia Goodman Jackson is licensed to practice in Virginia (license number 0024164290) 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 1124164173.

Contact Information

	Pharnethia Goodman Jackson, NP-C
	2760 Godwin Blvd Ste 100, Suffolk, VA 23434-8501
	(757) 983-8650
	Not Available

Map and Direction

Provider's Profile

Full Name	Pharnethia Goodman Jackson
Gender	Female
Speciality	Nurse Practitioner
Experience	25 Years
Location	2760 Godwin Blvd Ste 100, Suffolk, Virginia
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:

Pharnethia Goodman Jackson graduated from nursing school in 1999

NPI Data:

NPI Number: 1124164173
Provider Enumeration Date: 01/29/2007
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 4284739111
Enrollment ID: I20070420000289

Medical Identifiers

Medical identifiers for Pharnethia Goodman Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124164173	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	0001120025 (Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	0017137032 (Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	0024164290 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sentara Home Care Services-suffolk	Suffolk, VA	Home health agency
Sentara Obici Hospital	Suffolk, VA	Hospital
Sentara Norfolk General Hospital	Norfolk, VA	Hospital
Sentara Leigh Hospital	Norfolk, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ivyrehab Sept, Llc	7911990908	1173
Sentara Medical Group	8921903923	1091

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. Pharnethia Goodman Jackson allows following entities to bill medicare on her behalf.

Entity Name	Sentara Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466

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. Pharnethia Goodman 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
Pharnethia Goodman Jackson, NP-C 2760 Godwin Blvd Ste 100, Suffolk, VA 23434-8501 Ph: (757) 983-8650	Pharnethia Goodman Jackson, NP-C 2760 Godwin Blvd Ste 100, Suffolk, VA 23434-8501 Ph: (757) 983-8650

Reviews and Comments

Nurse Practitioner Nurses in Suffolk, VA

Meagan Emily Keaton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5833 Harbour View Blvd Ste B, Suffolk, VA 23435 Phone: 757-337-4018 Fax: 577-337-4019
Mrs. Christianne Hayes, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2897 Bridge Rd, Suffolk, VA 23435 Phone: 757-484-7248 Fax: 757-484-8316
Melanie Bjorkman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5838 Harbour View Blvd Ste 240, Suffolk, VA 23435 Phone: 505-688-5823
Sara Eliza Munoz, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7185 Harbour Towne Pkwy S Ste 200, Suffolk, VA 23435 Phone: 574-575-1007 Fax: 757-961-3696
D'ericka L Fulgham-artis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2800 Godwin Blvd, Suffolk, VA 23434 Phone: 757-934-4000
Jamie Deputy, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1577 Wilroy Rd Ste 102, Suffolk, VA 23434 Phone: 757-204-5775
Michelle Melton, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2790 Godwin Blvd Ste 205, Suffolk, VA 23434 Phone: 757-942-2566

Pharnethia Goodman Jackson, NP-C - Medicare Nurse Practitioner in Suffolk, VA