Shelby H Jackson, in Grenada, MS - Medicare Nurse Practitioner

Shelby H Jackson, is a medicare enrolled "Nurse Practitioner - Family" in Grenada, Mississippi. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and her current practice location is 960 Avent Dr, Grenada, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 227-7000.

Shelby H Jackson is licensed to practice in Mississippi (license number 903610) 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 1841822152.

Contact Information

	Shelby H Jackson,
	960 Avent Dr, Grenada, MS 38901-5230
	(662) 227-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Shelby H Jackson
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	960 Avent Dr, Grenada, Mississippi
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:

Shelby H Jackson graduated from nursing school in 2019

NPI Data:

NPI Number: 1841822152
Provider Enumeration Date: 02/05/2020
Last Update Date: 03/05/2021

Medicare PECOS Information:

PECOS PAC ID: 4688095565
Enrollment ID: I20200601002437

Medical Identifiers

Medical identifiers for Shelby H Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841822152	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	903610 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Mississippi Medical Center- Grenada	Grenada, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
State Of Mississippi - University Of Mississippi Medical Center	1850293036	804

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. Shelby H Jackson allows following entities to bill medicare on her behalf.

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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. Shelby H 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
Shelby H Jackson, 504 Clinton Center Drive, Cbo-suite 4300, Jackson, MS 39056 Ph: (601) 496-9794	Shelby H Jackson, 960 Avent Dr, Grenada, MS 38901-5230 Ph: (662) 227-7000

Reviews and Comments

Nurse Practitioner Nurses in Grenada, MS

Kelsey Marter Faulkner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 965 Avent Dr, Grenada, MS 38901 Phone: 601-815-2005
Mrs. Agnes Pamela Upchurch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Sunset Dr, Ste B, Grenada, MS 38901 Phone: 662-229-0669 Fax: 662-227-9929
Courtney Bullard, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1966 F S Hill Dr, Grenada, MS 38901 Phone: 662-688-1519
Mrs. Ashley Nicole Woods, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 140 Broadfield Dr, Grenada, MS 38901 Phone: 662-809-2419
Latia Monanette Butts, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Sunset Dr, Ste Q, Grenada, MS 38901 Phone: 662-349-2442 Fax: 662-349-8551
Shonda Jacqueline Phelon, C.F.N.P.; P.M.H.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1970 Grandview Dr, Grenada, MS 38901 Phone: 662-227-3700 Fax: 662-227-3740
Alison Campbell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1117 Sunset Dr Ste 104, Grenada, MS 38901 Phone: 662-226-0110

Shelby H Jackson, - Medicare Nurse Practitioner in Grenada, MS