Susan M Jackson, FNP in Utica, NY - Medicare Nurse Practitioner

Susan M Jackson, FNP is a medicare enrolled "Nurse Practitioner" in Utica, New York. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Primary Care Metabolic Disorders Medical Practice Pllc and her current practice location is 1450 Champlin Ave, Utica, New York. You can reach out to her office (for appointments etc.) via phone at (315) 624-9000.

Susan M Jackson is licensed to practice in New York (license number 332294) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1699889949.

Contact Information

	Susan M Jackson, FNP
	1450 Champlin Ave, Utica, NY 13502-3662
	(315) 624-9000
	(315) 624-9003

Map and Direction

Provider's Profile

Full Name	Susan M Jackson
Gender	Female
Speciality	Nurse Practitioner
Experience	26 Years
Location	1450 Champlin Ave, Utica, New York
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Susan M Jackson graduated from nursing school in 1998

NPI Data:

NPI Number: 1699889949
Provider Enumeration Date: 08/17/2006
Last Update Date: 03/09/2020

Medicare PECOS Information:

PECOS PAC ID: 0547317224
Enrollment ID: I20090415000473

Medical Identifiers

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

Identifier	Type	State	Issuer
1699889949	NPI	-	NPPES
01866164	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	264949 (New York)	Secondary
363L00000X	Nurse Practitioner	332294 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vna Utica And Oneida Co Chha	Utica, NY	Home health agency
Nascentia Health At Home	Syracuse, NY	Home health agency
Rome Memorial Hospital, Inc	Rome, NY	Hospital
Faxton-st Luke's Healthcare	Utica, NY	Hospital
Oneida Healthcare Center	Oneida, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Primary Care Metabolic Disorders Medical Practice Pllc	5799116737	2

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. Susan M Jackson allows following entities to bill medicare on her behalf.

Entity Name	Primary Care Metabolic Disorders Medical Practice Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942833835 PECOS PAC ID: 5799116737 Enrollment ID: O20200507002164

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. Susan M 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
Susan M Jackson, FNP Po Box 8155, Utica, NY 13505 Ph: (315) 736-0155	Susan M Jackson, FNP 1450 Champlin Ave, Utica, NY 13502-3662 Ph: (315) 624-9000

Reviews and Comments

Nurse Practitioner Nurses in Utica, NY

Sarah Dunham, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 Champlin Ave, Utica, NY 13502 Phone: 315-624-8400
Miss Jenna Yager, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Hospital Dr, Utica, NY 13502 Phone: 315-917-9966
Cynthia A Altieri, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1400 Noyes St, Utica, NY 13502 Phone: 315-797-6800
Thet Thet Mar, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Hobart St, Utica, NY 13501 Phone: 315-798-1149 Fax: 315-734-3565
Barbara Jean Drake, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2211 Genesee St Ste 200, Utica, NY 13501 Phone: 315-733-7598 Fax: 315-733-7694
Michael S Babula, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Noyes St, Utica, NY 13502 Phone: 315-624-9471 Fax: 315-922-9502
Vicki A. Haines, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1656 Champlin Ave, Suite 203, Utica, NY 13502 Phone: 315-738-0647 Fax: 315-738-9719

Susan M Jackson, FNP - Medicare Nurse Practitioner in Utica, NY