Andrea Michele Jackson, in Starkville, MS - Medicare Nurse Practitioner

Andrea Michele Jackson, is a medicare enrolled "Nurse Practitioner" in Starkville, Mississippi. Her current practice location is 100 Wilburn Way, Starkville, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 320-4008.

Andrea Michele Jackson is licensed to practice in Mississippi (license number 902906) 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 1568945947.

Contact Information

	Andrea Michele Jackson,
	100 Wilburn Way, Starkville, MS 39759-3692
	(662) 320-4008
	Not Available

Map and Direction

Provider's Profile

Full Name	Andrea Michele Jackson
Gender	Female
Speciality	Nurse Practitioner
Location	100 Wilburn Way, Starkville, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568945947
Provider Enumeration Date: 09/11/2018
Last Update Date: 09/11/2018

Medicare PECOS Information:

PECOS PAC ID: 6608113915
Enrollment ID: I20190124002100

Medical Identifiers

Medical identifiers for Andrea Michele Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568945947	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	902906 (Mississippi)	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. Andrea Michele Jackson allows following entities to bill medicare on her behalf.

Entity Name	Waldrop Chiropractic And Wellness, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033420328 PECOS PAC ID: 6305977422 Enrollment ID: O20100706000195

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

Entity Name	Red Hills Ortho Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902568595 PECOS PAC ID: 0749670917 Enrollment ID: O20211201002686

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. Andrea Michele 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
Andrea Michele Jackson, 100 Wilburn Way, Starkville, MS 39759-3692 Ph: (662) 320-4008	Andrea Michele Jackson, 100 Wilburn Way, Starkville, MS 39759-3692 Ph: (662) 320-4008

Reviews and Comments

Nurse Practitioner Nurses in Starkville, MS

Mrs. Maggie Martin Fair, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Wilburn Way, Starkville, MS 39759 Phone: 662-323-9908 Fax: 662-323-8948
Mrs. Anna Cooper, WHNP, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Park Dr, Starkville, MS 39759 Phone: 662-323-4427
Mrs. Rachel Romero Martin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1207 Highway 182 W, Starkville, MS 39759 Phone: 662-320-7800
Mrs. Mamie M Kosko, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Wilburn Way, Starkville, MS 39759 Phone: 662-320-4008 Fax: 662-320-2450
Mrs. Laura J Hare, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Russell St, Suite 3, Starkville, MS 39759 Phone: 662-324-2244 Fax: 662-324-2295
Meredith Patton Hartline, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Russell St Ste 3, Starkville, MS 39759 Phone: 662-324-2244 Fax: 662-324-2295
Rosaland Ann Henderson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Brandon Rd, Starkville, MS 39759 Phone: 662-324-1291

Andrea Michele Jackson, - Medicare Nurse Practitioner in Starkville, MS