Tena Maria Jackson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Gahanna, Ohio. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Llc, Minuteclinic Diagnostic Of Ohio Llc and her current practice location is
60 N Stygler Rd # 3410, Gahanna, Ohio. You can reach out to her office (for appointments etc.) via phone at
(866) 389-2727.
Tena Maria Jackson is licensed to practice in Ohio (license number 0037595) 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 1114678257.
Physician's Profile
| Full Name | Tena Maria Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 4 Years |
|---|
| Location | 60 N Stygler Rd # 3410, Gahanna, Ohio |
|---|
| 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:
- Tena Maria Jackson graduated from medical school in 2021
NPI Data:
- NPI Number: 1114678257
- Provider Enumeration Date: 01/11/2022
- Last Update Date: 10/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 8224415633
- Enrollment ID: I20220524000859
Medical Identifiers
Medical identifiers for Tena Maria Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114678257 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | APRN11017532 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 11017532 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0037595 (Ohio) | Primary |
| 363L00000X | Nurse Practitioner | 2021117108 (Florida) | Secondary |
| 207Q00000X | Family Medicine | APRN.CNP.0037595 (Ohio) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Minuteclinic Llc | 6709850241 | 509 |
| Minuteclinic Diagnostic Of Ohio Llc | 2961425608 | 184 |
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. Tena Maria Jackson allows following entities to bill medicare on her behalf.
| Entity Name | Minuteclinic Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1134191836
PECOS PAC ID: 6709850241
Enrollment ID: O20070217000007 |
|---|
| Entity Name | Primary Care Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1770354763
PECOS PAC ID: 0941642169
Enrollment ID: O20241108001179 |
|---|
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. Tena Maria 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 |
|---|
Tena Maria Jackson, FNP-BC
215 Town Center Loop,
Pataskala, OH 43062-7697
Ph: (740) 794-1919 | Tena Maria Jackson, FNP-BC
60 N Stygler Rd # 3410,
Gahanna, OH 43230-2435
Ph: (866) 389-2727 |
Reviews and Comments