Brian Jackson, in Conway, AR - Medicare Nurse Practitioner

Brian Jackson, is a medicare enrolled "Nurse Practitioner" in Conway, Arkansas. His current practice location is 455 Hogan Ln, Conway, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 513-0799.

Brian Jackson is licensed to practice in Arkansas (license number 225272) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790560589.

Contact Information

	Brian Jackson,
	455 Hogan Ln, Conway, AR 72034-8201
	(501) 513-0799
	Not Available

Map and Direction

Provider's Profile

Full Name	Brian Jackson
Gender	Male
Speciality	Nurse Practitioner
Location	455 Hogan Ln, Conway, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790560589
Provider Enumeration Date: 08/29/2023
Last Update Date: 08/29/2023

Medicare PECOS Information:

PECOS PAC ID: 2365898475
Enrollment ID: I20231026000316

Medical Identifiers

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

Identifier	Type	State	Issuer
1790560589	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	225272 (Arkansas)	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. Brian Jackson allows following entities to bill medicare on his behalf.

Entity Name	Texas Digestive Disease Consultants Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508400425 PECOS PAC ID: 3375531379 Enrollment ID: O20191219000304

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. Brian 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
Brian Jackson, 119 Harmony Loop, Maumelle, AR 72113-7070 Ph: (501) 206-1492	Brian Jackson, 455 Hogan Ln, Conway, AR 72034-8201 Ph: (501) 513-0799

Reviews and Comments

Nurse Practitioner Nurses in Conway, AR

Marina Gray, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 495 Hogan Ln Ste 2, Conway, AR 72034 Phone: 501-358-6695 Fax: 501-358-6860
Mckenzie Lauren Cotton, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 Skyline Dr, Conway, AR 72032 Phone: 501-499-6222
Cynthia Lou Grubbs, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 495 Hogan Ln, Conway, AR 72034 Phone: 501-327-1150 Fax: 501-327-3427
Mrs. Leah Maranda Martin, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Harkrider St, Suite B, Conway, AR 72032 Phone: 501-327-7100 Fax: 501-279-9011
Keisha A. Fox, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Salem Rd Ste 1, Conway, AR 72034 Phone: 479-518-4977 Fax: 479-203-3030
Mrs. Shakenia A Tate, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 E Siebenmorgen Rd, Conway, AR 72032 Phone: 501-329-6851
David Adam Steinfeld, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 855 S German Ln Ste 1, Conway, AR 72034 Phone: 501-358-6606 Fax: 501-325-5554

Brian Jackson, - Medicare Nurse Practitioner in Conway, AR