Taylor Buchanan Jackson, FNP in San Diego, CA

Taylor Buchanan Jackson, FNP is a medicare enrolled "Nurse Practitioner" in San Diego, California. Her current practice location is 4510 Executive Dr Ste 215, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 657-6624.

Taylor Buchanan Jackson is licensed to practice in North Carolina (license number 5017962) 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 1205292455.

Contact Information

	Taylor Buchanan Jackson, FNP
	4510 Executive Dr Ste 215, San Diego, CA 92121-3023
	(858) 657-6624
	Not Available

Map and Direction

Provider's Profile

Full Name	Taylor Buchanan Jackson
Gender	Female
Speciality	Nurse Practitioner
Location	4510 Executive Dr Ste 215, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205292455
Provider Enumeration Date: 01/04/2016
Last Update Date: 07/24/2024

Medicare PECOS Information:

PECOS PAC ID: 4486958113
Enrollment ID: I20230809000563

Medical Identifiers

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

Identifier	Type	State	Issuer
1205292455	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R190900 (Maryland)	Secondary
363LF0000X	Nurse Practitioner - Family	95003121 (California)	Secondary
363L00000X	Nurse Practitioner	5017962 (North Carolina)	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. Taylor Buchanan Jackson allows following entities to bill medicare on her behalf.

Entity Name	Novant Health Medical Group Coastal Region Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649865791 PECOS PAC ID: 2860809936 Enrollment ID: O20210408000285

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. Taylor Buchanan 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
Taylor Buchanan Jackson, FNP 911 Saxon Hill Dr, Cockeysville, MD 21030-2905 Ph: (410) 419-1438	Taylor Buchanan Jackson, FNP 4510 Executive Dr Ste 215, San Diego, CA 92121-3023 Ph: (858) 657-6624

Reviews and Comments

Nurse Practitioner Nurses in San Diego, CA

Lorena Marie Fujii, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8910
Susan Kermoian Yaszay, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 823 Gateway Center Way, San Diego, CA 92102 Phone: 619-515-2300 Fax: 619-232-1360
Dale Michael Trujillo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Amina Michelle Heise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8110 Birmingham Way Bldg 28, 2nd Floor, San Diego, CA 92123 Phone: 858-966-4003 Fax: 858-560-6798
Amy M Sorgent, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7995 Armour St, San Diego, CA 92111 Phone: 858-637-4262
Blanca Estela Cardenas, FNP, MSN, PHN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Camino Del Rio S Ste 204-1, San Diego, CA 92108 Phone: 619-426-9731 Fax: 619-426-9733
Mrs. Andrea S. Higginbotham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128 Phone: 877-257-0637

Taylor Buchanan Jackson, FNP - Medicare Nurse Practitioner in San Diego, CA