Lori Elizabeth Jackson, CRNA in Fort Wayne, IN - Medicare Certified Registered Nurse Anesthetist (crna)

Lori Elizabeth Jackson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Wayne, Indiana. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Associated Anesthesiologists Of Fort Wayne, Pc and her current practice location is 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 436-7875.

Lori Elizabeth Jackson is licensed to practice in Indiana (license number 28169386A) 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 1538778386.

Contact Information

	Lori Elizabeth Jackson, CRNA
	10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825-1912
	(260) 436-7875
	(260) 432-9812

Map and Direction

Provider's Profile

Full Name	Lori Elizabeth Jackson
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	4 Years
Location	10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lori Elizabeth Jackson graduated from nursing school in 2020

NPI Data:

NPI Number: 1538778386
Provider Enumeration Date: 07/28/2020
Last Update Date: 07/12/2023

Medicare PECOS Information:

PECOS PAC ID: 0749609808
Enrollment ID: I20200923002473

Medical Identifiers

Medical identifiers for Lori Elizabeth Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538778386	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	28169386A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Orthopaedic Hospital Of Lutheran Health Networ	Fort wayne, IN	Hospital
Lutheran Hospital Of Indiana	Fort wayne, IN	Hospital
Dupont Hospital Llc	Fort wayne, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Associated Anesthesiologists Of Fort Wayne, Pc	2264412444	102

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. Lori Elizabeth Jackson allows following entities to bill medicare on her behalf.

Entity Name	Associated Anesthesiologists Of Fort Wayne, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538159140 PECOS PAC ID: 2264412444 Enrollment ID: O20040720001562

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. Lori Elizabeth 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
Lori Elizabeth Jackson, CRNA Po Box 843603, Dallas, TX 75284-0001 Ph: (972) 233-1999	Lori Elizabeth Jackson, CRNA 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825-1912 Ph: (260) 436-7875

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Wayne, IN

Anthony Dzigbordi, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551
Lisa A Tompa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060
Nicole Borem Schickel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875
Benjamin Wisenbaker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875
Blair John Walker, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-416-3000
Lisa Osborne, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875
Thomas George Merkler, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875 Fax: 260-432-9812

Lori Elizabeth Jackson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fort Wayne, IN