Siew Jackson, in Waldwick, NJ - Medicare Nurse Practitioner

Siew Jackson, is a medicare enrolled "Nurse Practitioner - Family" in Waldwick, New Jersey. Her current practice location is 140 Franklin Tpke Ste 6a, Waldwick, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 447-3603.

Siew Jackson is licensed to practice in New Jersey (license number 26NJ14863400) 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 1174212336.

Contact Information

	Siew Jackson,
	140 Franklin Tpke Ste 6a, Waldwick, NJ 07463-1836
	(201) 447-3603
	Not Available

Map and Direction

Provider's Profile

Full Name	Siew Jackson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	140 Franklin Tpke Ste 6a, Waldwick, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174212336
Provider Enumeration Date: 05/03/2023
Last Update Date: 03/12/2024

Medicare PECOS Information:

PECOS PAC ID: 7618331166
Enrollment ID: I20230915002977

Medical Identifiers

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

Identifier	Type	State	Issuer
1174212336	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	26NR13538400 (New Jersey)	Secondary
363LF0000X	Nurse Practitioner - Family	26NJ14863400 (New Jersey)	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. Siew Jackson allows following entities to bill medicare on her behalf.

Entity Name	Valley Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467815928 PECOS PAC ID: 3577857333 Enrollment ID: O20160802002824

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. Siew 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
Siew Jackson, 669 Briarcliff Ave, Maywood, NJ 07607-1401 Ph: (201) 240-1703	Siew Jackson, 140 Franklin Tpke Ste 6a, Waldwick, NJ 07463-1836 Ph: (201) 447-3603

Reviews and Comments

Nurse Practitioner Nurses in Waldwick, NJ

Martine Elizabeth Ragone, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 140 Franklin Tpke, Waldwick, NJ 07463 Phone: 201-447-3603
Mrs. Annamma George, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 Franklin Tpke Ste 6a, Waldwick, NJ 07463 Phone: 201-447-3603 Fax: 201-447-5184
Mrs. Jeane Anthony, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 Franklin Tpke, Suite 6a, Waldwick, NJ 07463 Phone: 201-447-3603
Gabriela A Salas, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 Franklin Tpke Ste 6a, Waldwick, NJ 07463 Phone: 201-447-3606
Ms. Jessica Anne Grace S Lim, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 Franklin Tpke, Waldwick, NJ 07463 Phone: 201-447-3603
Janele Coppola, APN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 Franklin Tpke, Waldwick, NJ 07463 Phone: 201-447-3603
Natalie Della Croce, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 140 Franklin Tpke Ste 6a, Waldwick, NJ 07463 Phone: 201-447-3603

Siew Jackson, - Medicare Nurse Practitioner in Waldwick, NJ