Brent Jackson, in Tuttle, OK - Medicare Nurse Practitioner

Brent Jackson, is a medicare enrolled "Nurse Practitioner - Acute Care" in Tuttle, Oklahoma. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sutter Bay Hospitals and his current practice location is 2377 County Road 1201, Tuttle, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 412-3213.

Brent Jackson is licensed to practice in Oklahoma (license number 210172) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245967405.

Contact Information

	Brent Jackson,
	2377 County Road 1201, Tuttle, OK 73089-1067
	(405) 412-3213
	Not Available

Map and Direction

Provider's Profile

Full Name	Brent Jackson
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	2377 County Road 1201, Tuttle, Oklahoma
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brent Jackson graduated from nursing school in 2022

NPI Data:

NPI Number: 1245967405
Provider Enumeration Date: 08/06/2022
Last Update Date: 09/04/2022

Medicare PECOS Information:

PECOS PAC ID: 4981077302
Enrollment ID: I20240509001798

Medical Identifiers

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

Identifier	Type	State	Issuer
1245967405	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	96391 (Oklahoma)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	210172 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
California Pacific Medical Center- Van Ness Campus	San francisco, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sutter Bay Hospitals	3476506528	69

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. Brent Jackson allows following entities to bill medicare on his behalf.

Entity Name	Sutter Bay Hospitals
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740413798 PECOS PAC ID: 3476506528 Enrollment ID: O20050517000547

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. Brent 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
Brent Jackson, 2377 County Road 1201, Tuttle, OK 73089-1067 Ph: () -	Brent Jackson, 2377 County Road 1201, Tuttle, OK 73089-1067 Ph: (405) 412-3213

Reviews and Comments

Nurse Practitioner Nurses in Tuttle, OK

Carl Lee Laffoon, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5100 E Hwy 37, Tuttle, OK 73089 Phone: 405-381-5111 Fax: 405-381-5138
Mrs. Timber Laine Jackson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1391 County Road 1215, Tuttle, OK 73089 Phone: 405-412-5862
Dr. Caitlin Lee Schroeder, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5100 E Highway 37, Tuttle, OK 73089 Phone: 405-381-5111
Linzi Ruth Mackey, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5233 Kye Dr, Tuttle, OK 73089 Phone: 405-933-4270
Mrs. Michele Lynne Lange, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 904 Grandview Rd, Tuttle, OK 73089 Phone: 405-689-0433
Cheryl Macneill, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 768 County Street 2935, Tuttle, OK 73089 Phone: 405-265-9954

Brent Jackson, - Medicare Nurse Practitioner in Tuttle, OK