Ebony Jackson, - Licensed Practical Nurse in Cleveland, OH

Ebony Jackson, is a Licensed Practical Nurse based in Cleveland, Ohio. Ebony Jackson is licensed to practice in Ohio (license number PN.142392) and her current practice location is 4754 E 175th St, Cleveland, Ohio. She can be reached at her office (for appointments etc.) via phone at (216) 856-3107.

NPI number for Ebony Jackson is 1356678197 and her current mailing address is 4754 E 175th St, Cleveland, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356678197.

Contact Information

Ebony Jackson,
4754 E 175th St,
Cleveland, OH 44128-3932
(216) 856-3107
Not Available

Map and Direction




Provider's Profile

Full NameEbony Jackson
GenderFemale
SpecialityLicensed Practical Nurse
Location4754 E 175th St, Cleveland, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356678197
  • Provider Enumeration Date: 11/16/2009
  • Last Update Date: 01/03/2011

Medical Identifiers

Medical identifiers for Ebony Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356678197NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse PN.142392 (Ohio)Primary

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. Ebony Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ebony Jackson,
4754 E 175th St,
Cleveland, OH 44128-3932

Ph: (216) 856-3107
Ebony Jackson,
4754 E 175th St,
Cleveland, OH 44128-3932

Ph: (216) 856-3107

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).

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