Danielle R Jackson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Galena, KS

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Danielle R Jackson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Galena, Kansas. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Four States Anesthesia Services Llc, Four States Anesthesia Services Llc and her current practice location is 444 Four States Dr, Suite 2, Galena, Kansas. You can reach out to her office (for appointments etc.) via phone at (620) 783-4441.

Danielle R Jackson is licensed to practice in Kansas (license number 43557355122) 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 1417333543.

Contact Information

Danielle R Jackson, CRNA
444 Four States Dr, Suite 2,
Galena, KS 66739-4324
(620) 783-4441
Not Available

Map and Direction




Provider's Profile

Full NameDanielle R Jackson
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience9 Years
Location444 Four States Dr, Galena, Kansas
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:
  • Danielle R Jackson graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1417333543
  • Provider Enumeration Date: 07/30/2015
  • Last Update Date: 05/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8820303266
  • Enrollment ID: I20150814012919

Medical Identifiers

Medical identifiers for Danielle R Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417333543NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 2015025646 (Missouri)Secondary
367500000XNurse Anesthetist, Certified Registered 43557355122 (Kansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Specialty Hospital Southeast KansasGalena, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Four States Anesthesia Services Llc872997328420
Four States Anesthesia Services Llc872997328420

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. Danielle R Jackson allows following entities to bill medicare on her behalf.
Entity NameFour States Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053382929
PECOS PAC ID: 8729973284
Enrollment ID: O20100505000635
Entity NameMercy Hospital Carthage
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003201955
PECOS PAC ID: 8426225251
Enrollment ID: O20120225000071
Entity NameMercy Hospital Carthage
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1003201955
PECOS PAC ID: 8426225251
Enrollment ID: O20141203001963

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. Danielle R 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
Danielle R Jackson, CRNA
2923 Missouri Ave,
Joplin, MO 64804-2758

Ph: (417) 483-8527		Danielle R Jackson, CRNA
444 Four States Dr, Suite 2,
Galena, KS 66739-4324

Ph: (620) 783-4441

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Galena, KS

Mr. Keanon Walker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 444 Four States Dr, Suite 2, Galena, KS 66739
Phone: 620-783-4000    Fax: 620-783-4188
Jonathan Bryan Sperry, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 444 Four States Dr, Suite 1, Galena, KS 66739
Phone: 620-783-4000    
Kevin Hal Liljenquist,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 444 Four States Dr Ste 2, Galena, KS 66739
Phone: 620-783-4000    

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.