Alyssa Jane Jackson, is a medicare enrolled "Nurse Practitioner - Family" in Sebeka, Minnesota. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Astera Health and her current practice location is
106 Mn Ave, Sebeka, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 837-5333.
Alyssa Jane Jackson is licensed to practice in Minnesota (license number 7592) 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 1487266078.
Provider's Profile
| Full Name | Alyssa Jane Jackson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 106 Mn Ave, Sebeka, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alyssa Jane Jackson graduated from nursing school in 2020
NPI Data:
- NPI Number: 1487266078
- Provider Enumeration Date: 08/17/2020
- Last Update Date: 02/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799195285
- Enrollment ID: I20201112001433
Medical Identifiers
Medical identifiers for Alyssa Jane Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487266078 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | R49629 (North Dakota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 7592 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Astera Health | 2961395272 | 94 |
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. Alyssa Jane Jackson allows following entities to bill medicare on her behalf.
| Entity Name | Astera Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134305162
PECOS PAC ID: 2961395272
Enrollment ID: O20040202001082 |
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| Entity Name | Astera Health |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1477545333
PECOS PAC ID: 2961395272
Enrollment ID: O20060504000722 |
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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. Alyssa Jane 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 |
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Alyssa Jane Jackson,
106 Mn Ave,
Sebeka, MN 56477
Ph: (218) 837-5333 | Alyssa Jane Jackson,
106 Mn Ave,
Sebeka, MN 56477
Ph: (218) 837-5333 |
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