Tanya Lynn Jackson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Gleason, Tennessee. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mckenzie Medical Center Pc and her current practice location is
105 N Cedar St, Gleason, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(731) 648-5634.
Tanya Lynn Jackson is licensed to practice in Tennessee (license number 15540) 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 1205132206.
Provider's Profile
| Full Name | Tanya Lynn Jackson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 17 Years |
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| Location | 105 N Cedar St, Gleason, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tanya Lynn Jackson graduated from nursing school in 2007
NPI Data:
- NPI Number: 1205132206
- Provider Enumeration Date: 02/08/2011
- Last Update Date: 10/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 8123287810
- Enrollment ID: I20120315000855
Medical Identifiers
Medical identifiers for Tanya Lynn Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205132206 | NPI | - | NPPES |
| 3380640 | Other | TN | MEDICARE GROUP |
| 3380640 | Other | TN | MEDICAID GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 15540 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mckenzie Medical Center Pc | 2365427853 | 25 |
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. Tanya Lynn Jackson allows following entities to bill medicare on her behalf.
| Entity Name | Mckenzie Medical Center Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700534229
PECOS PAC ID: 2365427853
Enrollment ID: O20040619000083 |
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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. Tanya Lynn 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 |
|---|
Tanya Lynn Jackson, FNP-BC
205 Hospital Dr, Suite A,
Mc Kenzie, TN 38201-1649
Ph: (731) 352-7907 | Tanya Lynn Jackson, FNP-BC
105 N Cedar St,
Gleason, TN 38229-7264
Ph: (731) 648-5634 |
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