Tamiko Jackson, in Myrtle Beach, SC - Medicare Nurse Practitioner

Tamiko Jackson, is a medicare enrolled "Nurse Practitioner - Family" in Myrtle Beach, South Carolina. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Grand Strand Surgical Specialists Llc and her current practice location is 920 Doug White Dr Ste 510, Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 497-7772.

Tamiko Jackson is licensed to practice in South Carolina (license number 20057) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063875474.

Contact Information

	Tamiko Jackson,
	920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4183
	(843) 497-7772
	(843) 848-7530

Map and Direction

Provider's Profile

Full Name	Tamiko Jackson
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	920 Doug White Dr Ste 510, Myrtle Beach, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tamiko Jackson graduated from nursing school in 2015

NPI Data:

NPI Number: 1063875474
Provider Enumeration Date: 04/01/2016
Last Update Date: 01/27/2022

Medicare PECOS Information:

PECOS PAC ID: 7012209885
Enrollment ID: I20160714002027

Medical Identifiers

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

Identifier	Type	State	Issuer
1063875474	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	20057 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grand Strand Regional Medical Center	Myrtle beach, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Grand Strand Surgical Specialists Llc	4082770656	47

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. Tamiko Jackson allows following entities to bill medicare on her behalf.

Entity Name	Grand Strand Surgical Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841465804 PECOS PAC ID: 4082770656 Enrollment ID: O20090305000535

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. Tamiko 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
Tamiko Jackson, 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4183 Ph: (843) 497-7772	Tamiko Jackson, 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4183 Ph: (843) 497-7772

Reviews and Comments

Nurse Practitioner Nurses in Myrtle Beach, SC

Wilma J Spencer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7724 N Kings Hwy, Myrtle Beach, SC 29572 Phone: 843-663-1013 Fax: 843-663-1017
Mrs. Cyril Eunice Aboy Ferreras, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1303 38th Ave N, Myrtle Beach, SC 29577 Phone: 843-445-1697
Mary Taylor Britt Jackson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8121 Rourk St, Myrtle Beach, SC 29572 Phone: 843-692-5000 Fax: 843-692-5010
Mrs. Angela Kathline Naples, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1000
Mary E Byrd, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579 Phone: 843-236-2700 Fax: 843-236-2726
Alexander Petkovsek, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572 Phone: 843-497-6348 Fax: 843-497-6351
Mrs. June Jones, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3381 Phillis Blvd, Myrtle Beach, SC 29577 Phone: 843-477-0177

Tamiko Jackson, - Medicare Nurse Practitioner in Myrtle Beach, SC