Tiffany Jackson, FNP-C in Pearl, MS - Medicare Nurse Practitioner

Tiffany Jackson, FNP-C is a medicare enrolled "Nurse Practitioner" in Pearl, Mississippi. Her current practice location is 404 Riverwind Dr Ste B-1, Pearl, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 623-9245.

Tiffany Jackson is licensed to practice in Mississippi (license number F0115051) 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 1124410022.

Contact Information

	Tiffany Jackson, FNP-C
	404 Riverwind Dr Ste B-1, Pearl, MS 39208-5900
	(601) 623-9245
	(601) 623-9246

Map and Direction

Provider's Profile

Full Name	Tiffany Jackson
Gender	Female
Speciality	Nurse Practitioner
Location	404 Riverwind Dr Ste B-1, Pearl, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124410022
Provider Enumeration Date: 03/02/2015
Last Update Date: 04/19/2021

Medicare PECOS Information:

PECOS PAC ID: 0941697601
Enrollment ID: I20220427001469

Medical Identifiers

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

Identifier	Type	State	Issuer
1124410022	NPI	-	NPPES
07833786	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	F0115051 (Mississippi)	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. Tiffany Jackson allows following entities to bill medicare on her behalf.

Entity Name	Kids First Pediatric & Adult Medicine, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356701783 PECOS PAC ID: 9032506795 Enrollment ID: O20220427001337

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. Tiffany 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
Tiffany Jackson, FNP-C Po Box 495, Jackson, MS 39205-0495 Ph: (601) 623-9245	Tiffany Jackson, FNP-C 404 Riverwind Dr Ste B-1, Pearl, MS 39208-5900 Ph: (601) 623-9245

Reviews and Comments

Nurse Practitioner Nurses in Pearl, MS

Deidra Thompson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3794 Highway 468 W, Pearl, MS 39208 Phone: 601-932-2880
Aubree Jean Davis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3794 Highway 468 W, Pearl, MS 39208 Phone: 601-932-2880
Mr. Edward Scott Callihan, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 342 Gilchrist Dr, Pearl, MS 39208 Phone: 601-939-0700
Meredith Selman, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2507a Old Brandon Rd, Pearl, MS 39208 Phone: 601-531-8020
Jade Alexandra Roberts, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2507a Old Brandon Rd, Pearl, MS 39208 Phone: 601-345-2124
Mrs. Kimberly Renee Blumenberg, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3794 Highway 468 W, Pearl, MS 39208 Phone: 601-932-2880

Tiffany Jackson, FNP-C - Medicare Nurse Practitioner in Pearl, MS