Colton Jackson, NP in Salem, UT - Medicare Nurse Practitioner

Colton Jackson, NP is a medicare enrolled "Nurse Practitioner - Family" in Salem, Utah. His current practice location is 555 W State Road 164, Salem, Utah. You can reach out to his office (for appointments etc.) via phone at (385) 203-2720.

Colton Jackson is licensed to practice in Utah (license number 9420231-4405) 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 1942029152.

Contact Information

	Colton Jackson, NP
	555 W State Road 164, Salem, UT 84653-5732
	(385) 203-2720
	(801) 798-8961

Map and Direction

Provider's Profile

Full Name	Colton Jackson
Gender	Male
Speciality	Nurse Practitioner - Family
Location	555 W State Road 164, Salem, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942029152
Provider Enumeration Date: 10/04/2024
Last Update Date: 10/04/2024

Medicare PECOS Information:

PECOS PAC ID: 4385178128
Enrollment ID: I20241115000690

Medical Identifiers

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

Identifier	Type	State	Issuer
1942029152	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9420231-4405 (Utah)	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. Colton Jackson allows following entities to bill medicare on his behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

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. Colton 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
Colton Jackson, NP 1055 N 500 W, Attn: Credentialing, Provo, UT 84604 Ph: (801) 354-8225	Colton Jackson, NP 555 W State Road 164, Salem, UT 84653-5732 Ph: (385) 203-2720

Reviews and Comments

Nurse Practitioner Nurses in Salem, UT

Austin Guy Blanchard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1548 S Carson Way, Salem, UT 84653 Phone: 801-380-2386
Dr. Josh Hooton, A/GNP, FNP-C, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 251 W State Road 198 Ste 3, Salem, UT 84653 Phone: 801-504-6665 Fax: 801-504-6073
Krista Michelle Brinkerhoff, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 636 N 220 E, Salem, UT 84653 Phone: 801-616-1056
Micquelle Curtis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1031 S 440 E, Salem, UT 84653 Phone: 801-376-7629
Con Kaleb Newman, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-465-4896 Fax: 801-465-0606
Kristin Van Tassell, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 N Main St, Suite B, Salem, UT 84653 Phone: 801-477-9007
Mrs. Karlen E Luthy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 N Main St Ste B, Salem, UT 84653 Phone: 801-477-9007 Fax: 801-477-9006

Colton Jackson, NP - Medicare Nurse Practitioner in Salem, UT