Randall Jackson, CFNP in Mccomb, MS - Medicare Nurse Practitioner

Randall Jackson, CFNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Mccomb, Mississippi. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southwest Mississippi Regional Medical Center and his current practice location is 215 Marion Ave, Mccomb, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 249-5500.

Randall Jackson is licensed to practice in Mississippi (license number 878547) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144614165.

Contact Information

	Randall Jackson, CFNP
	215 Marion Ave, Mccomb, MS 39648-2705
	(601) 249-5500
	(601) 249-1173

Map and Direction

Provider's Profile

Full Name	Randall Jackson
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	215 Marion Ave, Mccomb, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Randall Jackson graduated from nursing school in 2015

NPI Data:

NPI Number: 1144614165
Provider Enumeration Date: 03/27/2015
Last Update Date: 05/02/2022

Medicare PECOS Information:

PECOS PAC ID: 8628396736
Enrollment ID: I20150421000238

Medical Identifiers

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

Identifier	Type	State	Issuer
1144614165	NPI	-	NPPES
05435530	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R878547 (Mississippi)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	878547 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southwest Ms Regional Medical Center	Mccomb, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southwest Mississippi Regional Medical Center	5193633907	68

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. Randall Jackson allows following entities to bill medicare on his behalf.

Entity Name	Southwest Mississippi Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982174488 PECOS PAC ID: 5193633907 Enrollment ID: O20080512000004

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. Randall 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
Randall Jackson, CFNP Po Box 490, Mccomb, MS 39649-0490 Ph: (601) 249-2701	Randall Jackson, CFNP 215 Marion Ave, Mccomb, MS 39648-2705 Ph: (601) 249-5500

Reviews and Comments

Nurse Practitioner Nurses in Mccomb, MS

Mrs. Betty Richardson, CNFP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 Marion Ave, Mccomb, MS 39648 Phone: 601-684-6891 Fax: 601-249-3834
Micah Kennedy Craft, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 309 Llewellyn Ave, Mccomb, MS 39648 Phone: 601-682-7623
Maranda Jordan Guess, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 309 Llewellyn Ave, Mccomb, MS 39648 Phone: 601-684-7623 Fax: 601-754-7905
Mrs. Mary Thornton, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Rawls Dr, Ste 1200, Mccomb, MS 39648 Phone: 601-249-4710 Fax: 601-249-4716
William Jason Bass, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500 Fax: 954-367-8523
Ms. Robin Bass Spring, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Scott Dr, Mccomb, MS 39648 Phone: 601-680-0371
Sunja Tate, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Rawls Drive, Suite 100, Mccomb, MS 39649 Phone: 601-684-7623 Fax: 877-795-9891

Randall Jackson, CFNP - Medicare Nurse Practitioner in Mccomb, MS