Warren Orlando Jackson, AGNP - Medicare Nurse Practitioner in Bridgeton, MO

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Warren Orlando Jackson, AGNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Bridgeton, Missouri. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Galen Inpatient Physicians Pc and his current practice location is 12303 De Paul Dr, Bridgeton, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 317-0600.

Warren Orlando Jackson is licensed to practice in Missouri (license number 2016024362) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548718448.

Contact Information

Warren Orlando Jackson, AGNP
12303 De Paul Dr,
Bridgeton, MO 63044-2512
(314) 317-0600
(314) 317-0606

Map and Direction




Provider's Profile

Full NameWarren Orlando Jackson
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location12303 De Paul Dr, Bridgeton, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Warren Orlando Jackson graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1548718448
  • Provider Enumeration Date: 09/20/2016
  • Last Update Date: 09/20/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2769770163
  • Enrollment ID: I20161018002774

Medical Identifiers

Medical identifiers for Warren Orlando Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548718448NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 2016024362 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm St Clare Health CenterFenton, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Galen Inpatient Physicians Pc3678464633442

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. Warren Orlando Jackson allows following entities to bill medicare on his behalf.
Entity NameCogent Healthcare Of Missouri Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780961599
PECOS PAC ID: 5597925099
Enrollment ID: O20120320000863
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20160809000235
Entity NameIpc Pac Healthcare Services Of Missouri Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326497587
PECOS PAC ID: 4587950589
Enrollment ID: O20160830002898
Entity NameSound Physicians Of Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043598865
PECOS PAC ID: 1557533734
Enrollment ID: O20170519000666
Entity NameHospitalist Medicine Physicians Of Missouri - Bridgeton, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275012452
PECOS PAC ID: 2567713571
Enrollment ID: O20181001001537
Entity NameGalen Inpatient Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538714688
PECOS PAC ID: 3678464633
Enrollment ID: O20191115000362

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. Warren Orlando 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
Warren Orlando Jackson, AGNP
12101 Woodcrest Executive Dr, Suite 210,
Saint Louis, MO 63141-5047

Ph: (314) 317-0600		Warren Orlando Jackson, AGNP
12303 De Paul Dr,
Bridgeton, MO 63044-2512

Ph: (314) 317-0600

Reviews and Comments


Nurse Practitioner Nurses in Bridgeton, MO

Debra E Solom, A.N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12277 De Paul Dr Ste 100, Bridgeton, MO 63044
Phone: 314-209-5142    
Suneeta V. Parpelli, AGNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044
Phone: 314-317-0600    Fax: 314-317-0606
Mrs. Megan L Wren, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12255 De Paul Dr Ste 420n, Bridgeton, MO 63044
Phone: 314-298-3893    Fax: 314-851-4408
Saima Baig,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12255 De Paul Dr Ste 490, Bridgeton, MO 63044
Phone: 314-344-7770    
Ms. Amy Elizabeth Mcalister, PNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12255 Depaul Drive, Suite 370, Bridgeton, MO 63044
Phone: 314-209-5222    Fax: 314-092-5224
Susan H Fliesher, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12303 Depaul Drive, Bridgeton, MO 63044
Phone: 314-344-6000    
Mrs. Kathleen Konys, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044
Phone: 800-305-6616    

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.