Racine Dominique Jackson, NP - Medicare Nurse Practitioner in Gonzales, LA

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Racine Dominique Jackson, NP is a medicare enrolled "Nurse Practitioner - Family" in Gonzales, Louisiana. Her current practice location is 2525 W Orice Roth Rd Apt 1510, Gonzales, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 348-3997.

Racine Dominique Jackson is licensed to practice in Louisiana (license number 229255) 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 1073216719.

Contact Information

Racine Dominique Jackson, NP
2525 W Orice Roth Rd Apt 1510,
Gonzales, LA 70737-5336
(225) 348-3997
Not Available

Map and Direction




Provider's Profile

Full NameRacine Dominique Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location2525 W Orice Roth Rd Apt 1510, Gonzales, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073216719
  • Provider Enumeration Date: 03/22/2023
  • Last Update Date: 03/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092169474
  • Enrollment ID: I20231004001283

Medical Identifiers

Medical identifiers for Racine Dominique Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073216719NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 229255 (Louisiana)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. Racine Dominique Jackson allows following entities to bill medicare on her behalf.
Entity NamePelican State Outpatient Center - Caro Clinic L. L. C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467507913
PECOS PAC ID: 8022051234
Enrollment ID: O20100628000040

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. Racine Dominique 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
Racine Dominique Jackson, NP
2525 W Orice Roth Rd Apt 1510,
Gonzales, LA 70737-5336

Ph: (225) 348-3997		Racine Dominique Jackson, NP
2525 W Orice Roth Rd Apt 1510,
Gonzales, LA 70737-5336

Ph: (225) 348-3997

Reviews and Comments


Nurse Practitioner Nurses in Gonzales, LA

Carol B Craig, N.P.
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Phone: 225-644-2100    Fax: 225-644-5213
Jennifer Jennings Gibson, APRN, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 1201 S Purpera Ave Ste 601, Gonzales, LA 70737
Phone: 504-465-4550    Fax: 833-222-4520
Thu Anh Nguyen,
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Practice Location: 42568 Cedar Park Ave, Gonzales, LA 70737
Phone: 504-520-0373    
Angelle Williams, FNP
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Medicare: Medicare Enrolled
Practice Location: 2524 S Philippe Ave, Gonzales, LA 70737
Phone: 225-644-1990    Fax: 225-644-3264
Maretta Daniel, MSN ,APN NP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 14601 Airline Hwy Ste 103, Gonzales, LA 70737
Phone: 225-236-5970    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.