Jennifer Ann Jackson, RD - Medicare Dietitian in Arcata, CA

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Jennifer Ann Jackson, RD is a medicare enrolled "Dietitian, Registered" provider in Arcata, California. Her current practice location is 1600 Weeot Way, Arcata, California. You can reach out to her office (for appointments etc.) via phone at (707) 825-5000.

Jennifer Ann Jackson is licensed to practice in California (license number 912823) 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 1053579284.

Contact Information

Jennifer Ann Jackson, RD
1600 Weeot Way,
Arcata, CA 95521-4734
(707) 825-5000
(707) 825-5030

Map and Direction




Healthcare Provider's Profile

Full NameJennifer Ann Jackson
GenderFemale
SpecialityDietitian, Registered
Location1600 Weeot Way, Arcata, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053579284
  • Provider Enumeration Date: 05/23/2008
  • Last Update Date: 05/23/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 7012964042
  • Enrollment ID: I20050401000578

Medical Identifiers

Medical identifiers for Jennifer Ann Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053579284NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 912823 (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. Jennifer Ann Jackson allows following entities to bill medicare on her behalf.
Provider NameK'imaw Medical Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1306904222
PECOS PAC ID: 5496740698
Enrollment ID: O20040416001480
Provider NameConsolidated Tribal Health Project, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1003826009
PECOS PAC ID: 1456260736
Enrollment ID: O20050714000893

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. Jennifer Ann 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
Jennifer Ann Jackson, RD
1600 Weeot Way,
Arcata, CA 95521-4734

Ph: (707) 825-5000		Jennifer Ann Jackson, RD
1600 Weeot Way,
Arcata, CA 95521-4734

Ph: (707) 825-5000

Reviews and Comments


Dietitian, Registered in Arcata, CA

Mrs. Jenny Suzanne Krause, R.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 920 Samoa Blvd, Arcata, CA 95521
Phone: 707-496-5879    Fax: 707-825-8228
Lynn Stacy, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 770 10th St, Arcata, CA 95521
Phone: 707-826-8610    Fax: 707-826-8623
Irene G.p. Gil, R.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1600 Weeot Way, Arcata, CA 95521
Phone: 707-825-5000    
Miss Laura Marie Smith, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1600 Weeot Way, Arcata, CA 95521
Phone: 707-825-5000    Fax: 707-825-5035

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.