Ivette Syra Jackson, APRN-NP in West Hollywood, CA

Ivette Syra Jackson, APRN-NP is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in West Hollywood, California. Her current practice location is 8700 Beverly Blvd # 4311, West Hollywood, California. You can reach out to her office (for appointments etc.) via phone at (310) 423-4451.

Ivette Syra Jackson is licensed to practice in California (license number 95007329) 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 1699036756.

Contact Information

	Ivette Syra Jackson, APRN-NP
	8700 Beverly Blvd # 4311, West Hollywood, CA 90048-1804
	(310) 423-4451
	(310) 423-2114

Map and Direction

Provider's Profile

Full Name	Ivette Syra Jackson
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	8700 Beverly Blvd # 4311, West Hollywood, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699036756
Provider Enumeration Date: 06/06/2012
Last Update Date: 09/24/2020

Medicare PECOS Information:

PECOS PAC ID: 0143649699
Enrollment ID: I20201001002449

Medical Identifiers

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

Identifier	Type	State	Issuer
1699036756	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	111345 (Nebraska)	Secondary
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	ARNP 9350748 (Florida)	Secondary
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	95007329 (California)	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. Ivette Syra Jackson allows following entities to bill medicare on her behalf.

Entity Name	Cedars-sinai Medical Center Pharmacy #3
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639172372 PECOS PAC ID: 0446169114 Enrollment ID: O20040204000886

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. Ivette Syra 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
Ivette Syra Jackson, APRN-NP 4140 W 190th St, Torrance, CA 90504-5513 Ph: (310) 423-4451	Ivette Syra Jackson, APRN-NP 8700 Beverly Blvd # 4311, West Hollywood, CA 90048-1804 Ph: (310) 423-4451

Reviews and Comments

Nurse Practitioner Nurses in West Hollywood, CA

Dr. Bernice Louise Coleman, PH.D, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, North Tower Room 6215, West Hollywood, CA 90048 Phone: 310-423-6178
Chiara Casas, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-3277
Ms. Sharon A Galvis, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, Tower 4311, West Hollywood, CA 90048 Phone: 310-423-4457 Fax: 310-423-2114
Dr. Andrea Banty, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-4100
Ivy Mckenzie Carson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8550 Santa Monica Blvd Fl 2, West Hollywood, CA 90069 Phone: 909-962-1260 Fax: 323-307-7140
Pamela Grace Silvestre Mondejar, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-3277
Mrs. Alexandra Elise Saborio, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, Becker Building 220, West Hollywood, CA 90048 Phone: 310-423-5252

Ivette Syra Jackson, APRN-NP - Medicare Nurse Practitioner in West Hollywood, CA