Lerin Jackson, PMHNP-BC - Medicare Nurse Practitioner in Randallstown, MD

Lerin Jackson, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Randallstown, Maryland. Her current practice location is 5401 Old Court Rd, Randallstown, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 488-3645.

Lerin Jackson is licensed to practice in Maryland (license number R200117) 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 1336779578.

Contact Information

Lerin Jackson, PMHNP-BC
5401 Old Court Rd,
Randallstown, MD 21133-5103
(443) 488-3645
Not Available

Map and Direction




Provider's Profile

Full NameLerin Jackson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location5401 Old Court Rd, Randallstown, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336779578
  • Provider Enumeration Date: 01/15/2020
  • Last Update Date: 01/15/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6406285162
  • Enrollment ID: I20200331002256

Medical Identifiers

Medical identifiers for Lerin Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336779578NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health R200117 (Maryland)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. Lerin Jackson allows following entities to bill medicare on her behalf.
Entity NameAmerican Psychiatric Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184049736
PECOS PAC ID: 7315167707
Enrollment ID: O20141007001515
Entity NameWindrush Behavioral Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124404421
PECOS PAC ID: 5890002224
Enrollment ID: O20150917002164

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. Lerin 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
Lerin Jackson, PMHNP-BC
1925 Hillenwood Rd,
Baltimore, MD 21239-3620

Ph: (443) 488-3645
Lerin Jackson, PMHNP-BC
5401 Old Court Rd,
Randallstown, MD 21133-5103

Ph: (443) 488-3645

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.