Anna Pavlovna Jackson, PNP-PC is a medicare enrolled "Internal Medicine - Geriatric Medicine" in Loxahatchee, Florida. She went to Florida International Univ, College Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providers Health Alliance, Llc and her current practice location is
11327 Okeechobee Blvd, Ste 2 & 3, Medical Mall 2, Suite 224, Loxahatchee, Florida. You can reach out to her office (for appointments etc.) via phone at
(561) 340-1615.
Anna Pavlovna Jackson is licensed to practice in Florida (license number APRB11004601) 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 1801439542.
Provider's Profile
| Full Name | Anna Pavlovna Jackson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 11327 Okeechobee Blvd, Ste 2 & 3, Loxahatchee, Florida |
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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:
- Anna Pavlovna Jackson attended and graduated from Florida International Univ, College Of Medicine in 2019
NPI Data:
- NPI Number: 1801439542
- Provider Enumeration Date: 10/25/2019
- Last Update Date: 11/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890129704
- Enrollment ID: I20200102000205
Medical Identifiers
Medical identifiers for Anna Pavlovna Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801439542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0200X | Nurse Practitioner - Pediatrics | 11004601 (Florida) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | APRB11004601 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Providers Health Alliance, Llc | 9739462813 | 14 |
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. Anna Pavlovna Jackson allows following entities to bill medicare on her behalf.
| Entity Name | Providers Health Alliance, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689064834
PECOS PAC ID: 9739462813
Enrollment ID: O20170215002570 |
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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. Anna Pavlovna 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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Anna Pavlovna Jackson, PNP-PC
11327 Okeechobee Blvd, Ste 2 & 3,
Loxahatchee, FL 33470
Ph: (561) 340-1615 | Anna Pavlovna Jackson, PNP-PC
11327 Okeechobee Blvd, Ste 2 & 3, Medical Mall 2, Suite 224,
Loxahatchee, FL 33470
Ph: (561) 340-1615 |
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