Tiffany L Jackson, CRNP - Medicare Nurse Practitioner in Charlotte, NC

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Tiffany L Jackson, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Charlotte, North Carolina. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hospice And Palliative Care Charlotte Region, Hospice And Palliative Care Charlotte Region and her current practice location is 7845 Little Ave, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 375-0100.

Tiffany L Jackson is licensed to practice in North Carolina (license number 5010526) 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 1720334725.

Contact Information

Tiffany L Jackson, CRNP
7845 Little Ave,
Charlotte, NC 28226-8198
(704) 375-0100
(704) 335-3592

Map and Direction




Provider's Profile

Full NameTiffany L Jackson
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location7845 Little Ave, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tiffany L Jackson graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1720334725
  • Provider Enumeration Date: 07/27/2012
  • Last Update Date: 06/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2769639806
  • Enrollment ID: I20180509000911

Medical Identifiers

Medical identifiers for Tiffany L Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720334725NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 21482 (South Carolina)Secondary
363LF0000XNurse Practitioner - Family 5010526 (North Carolina)Primary
363LF0000XNurse Practitioner - Family SP012154 (Pennsylvania)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospice And Palliative Care Charlotte Region135533120816
Hospice And Palliative Care Charlotte Region135533120816

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 L Jackson allows following entities to bill medicare on her behalf.
Entity NameHospice & Palliative Care Charlotte Region
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679991301
PECOS PAC ID: 1355331208
Enrollment ID: O20170810000968
Entity NameHospice Of Laurens County Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912912890
PECOS PAC ID: 1052328630
Enrollment ID: O20190226002564

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 L 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 AddressPractice Location Address
Tiffany L Jackson, CRNP
Po Box 470408,
Charlotte, NC 28247-0408

Ph: (704) 375-0100		Tiffany L Jackson, CRNP
7845 Little Ave,
Charlotte, NC 28226-8198

Ph: (704) 375-0100

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.