Samantha Rae Jackson, FNP-BC - Nurse Practitioner in Collinsville, IL

Samantha Rae Jackson, FNP-BC is a Nurse Practitioner - Family based in Collinsville, Illinois. Samantha Rae Jackson is licensed to practice in Illinois (license number 209017975) and her current practice location is 320 Sumner Blvd, Collinsville, Illinois. She can be reached at her office (for appointments etc.) via phone at (618) 514-1170.

NPI number for Samantha Rae Jackson is 1861960221 and her current mailing address is 320 Sumner Blvd, Collinsville, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861960221.

Contact Information

Samantha Rae Jackson, FNP-BC
320 Sumner Blvd,
Collinsville, IL 62234-1929
(618) 514-1170
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Rae Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location320 Sumner Blvd, Collinsville, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1861960221
  • Provider Enumeration Date: 11/05/2018
  • Last Update Date: 11/05/2018

Medical Identifiers

Medical identifiers for Samantha Rae Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861960221NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209017975 (Illinois)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. Samantha Rae Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samantha Rae Jackson, FNP-BC
320 Sumner Blvd,
Collinsville, IL 62234-1929

Ph: (618) 514-1170
Samantha Rae Jackson, FNP-BC
320 Sumner Blvd,
Collinsville, IL 62234-1929

Ph: (618) 514-1170

Reviews and Comments


Nurse Practitioner Nurses in Collinsville, IL

Mrs. Megan Lynn Mihelcic, FNP
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Ms. Diedra M Ahlert, CPNP-PC
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Practice Location: 1320 Lexington Dr, Collinsville, IL 62234
Phone: 618-444-3351    
Ms. Kathleen Choate, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 907 N Bluff Rd, Ste 3, Collinsville, IL 62234
Phone: 618-604-0617    
Jessica Lynn Walker, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 531 Vandalia St, Collinsville, IL 62234
Phone: 618-344-0090    Fax: 618-344-4371
April Thomas,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 416 Wilson Ave, Collinsville, IL 62234
Phone: 618-210-1661    

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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