Nickolas Nathaniel Jackson, FNP, RN in Jamaica, NY

Nickolas Nathaniel Jackson, FNP, RN is a medicare enrolled "Nurse Practitioner - Family" in Jamaica, New York. He went to State University Of New York Downstate Medical Center and graduated in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Wantagh Physical Therapy, Chiropractic And Nurse Practitioner In Famil and his current practice location is 13471 Bedell St, Jamaica, New York. You can reach out to his office (for appointments etc.) via phone at (347) 759-9040.

Nickolas Nathaniel Jackson is licensed to practice in New York (license number 346970) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225628993.

Contact Information

	Nickolas Nathaniel Jackson, FNP, RN
	13471 Bedell St, Jamaica, NY 11434-4551
	(347) 759-9040
	Not Available

Map and Direction

Provider's Profile

Full Name	Nickolas Nathaniel Jackson
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	13471 Bedell St, Jamaica, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nickolas Nathaniel Jackson attended and graduated from State University Of New York Downstate Medical Center in 2020

NPI Data:

NPI Number: 1225628993
Provider Enumeration Date: 01/26/2021
Last Update Date: 01/26/2021

Medicare PECOS Information:

PECOS PAC ID: 4385046333
Enrollment ID: I20210713002542

Medical Identifiers

Medical identifiers for Nickolas Nathaniel Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225628993	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	346970 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wantagh Physical Therapy, Chiropractic And Nurse Practitioner In Famil	9739510900	4

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. Nickolas Nathaniel Jackson allows following entities to bill medicare on his behalf.

Entity Name	Wantagh Physical Therapy, Chiropractic & Nurse Practitioner In Family
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033739602 PECOS PAC ID: 9739510900 Enrollment ID: O20200504002534

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. Nickolas Nathaniel 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
Nickolas Nathaniel Jackson, FNP, RN 13471 Bedell St, Jamaica, NY 11434-4551 Ph: (347) 759-9040	Nickolas Nathaniel Jackson, FNP, RN 13471 Bedell St, Jamaica, NY 11434-4551 Ph: (347) 759-9040

Reviews and Comments

Nurse Practitioner Nurses in Jamaica, NY

Ms. Roshni Shah, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8712 175th St # 2a, Jamaica, NY 11432 Phone: 718-322-6111
Mary Clancy, PA Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8900 Van Wyck Expy, Jhmc Er, Jamaica, NY 11418 Phone: 718-206-6000
Mrs. Emilia Ureh Nwachukwu, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14442 175th St, Jamaica, NY 11434 Phone: 718-525-7845
Obioma Onah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21726 106th Ave, Jamaica, NY 11429 Phone: 347-393-5187
Ms. Aliyamma Samuel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 82-68 164th St, Jamaica, NY 11432 Phone: 718-883-3225 Fax: 718-883-6193
Nisha Pradeep, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8268 164th St, Room# 332, Jamaica, NY 11432 Phone: 718-883-2727
Immacula Samson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 718-883-3226

Nickolas Nathaniel Jackson, FNP, RN - Medicare Nurse Practitioner in Jamaica, NY