Annitta Jackson, LPN - Licensed Practical Nurse in South Bend, IN

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Annitta Jackson, LPN is a Licensed Practical Nurse based in South Bend, Indiana. Annitta Jackson is licensed to practice in Indiana (license number 27060852A) and her current practice location is 621 Memorial Dr Ste 402, South Bend, Indiana. She can be reached at her office (for appointments etc.) via phone at (574) 400-4550.

NPI number for Annitta Jackson is 1750077210 and her current mailing address is 621 Memorial Dr Ste 402, South Bend, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750077210.

Contact Information

Annitta Jackson, LPN
621 Memorial Dr Ste 402,
South Bend, IN 46601-1074
(574) 400-4550
(574) 400-4551

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Provider's Profile

Full NameAnnitta Jackson
GenderFemale
SpecialityLicensed Practical Nurse
Location621 Memorial Dr Ste 402, South Bend, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750077210
  • Provider Enumeration Date: 04/17/2023
  • Last Update Date: 04/17/2023

Medical Identifiers

Medical identifiers for Annitta Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750077210NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 27060852A (Indiana)Primary

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. Annitta Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Annitta Jackson, LPN
621 Memorial Dr Ste 402,
South Bend, IN 46601-1074

Ph: (574) 400-4550		Annitta Jackson, LPN
621 Memorial Dr Ste 402,
South Bend, IN 46601-1074

Ph: (574) 400-4550

Reviews and Comments


Licensed Practical Nurse Nurses in South Bend, IN

Judy Dodd, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 244 S Olive St, Suite E, South Bend, IN 46619
Phone: 574-282-3230    Fax: 574-282-3240
Kelli Ann Howard, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4324 Wimbleton Ct Apt B, South Bend, IN 46637
Phone: 574-310-5007    

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.