Elizabeth R Jackson, NP in Southaven, MS - Medicare Nurse Practitioner

Elizabeth R Jackson, NP is a medicare enrolled "Nurse Practitioner - Family" in Southaven, Mississippi. She graduated from nursing school in 1992 and has 32 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Urgent Medical Clinic Inc and her current practice location is 176 Goodman Rd W, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 536-1020.

Elizabeth R Jackson is licensed to practice in Mississippi (license number R786799) 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 1316143282.

Contact Information

	Elizabeth R Jackson, NP
	176 Goodman Rd W, Southaven, MS 38671-9405
	(662) 536-1020
	(662) 536-1024

Map and Direction

Provider's Profile

Full Name	Elizabeth R Jackson
Gender	Female
Speciality	Nurse Practitioner
Experience	32 Years
Location	176 Goodman Rd W, Southaven, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Elizabeth R Jackson graduated from nursing school in 1992

NPI Data:

NPI Number: 1316143282
Provider Enumeration Date: 06/26/2007
Last Update Date: 11/25/2014

Medicare PECOS Information:

PECOS PAC ID: 1557255718
Enrollment ID: I20081013000398

Medical Identifiers

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

Identifier	Type	State	Issuer
1316143282	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R786799 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Urgent Medical Clinic Inc	9739288937	6

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. Elizabeth R Jackson allows following entities to bill medicare on her behalf.

Entity Name	Urgent Medical Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578613188 PECOS PAC ID: 9739288937 Enrollment ID: O20070629000221

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. Elizabeth R 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
Elizabeth R Jackson, NP 176 Goodman Rd W, Southaven, MS 38671-9405 Ph: (662) 536-1020	Elizabeth R Jackson, NP 176 Goodman Rd W, Southaven, MS 38671-9405 Ph: (662) 536-1020

Reviews and Comments

Nurse Practitioner Nurses in Southaven, MS

Ms. Sherlean D Shugars, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2149 Stateline Rd W, Southaven, MS 38671 Phone: 662-342-1112
Penny Marie Holley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672 Phone: 662-655-0456 Fax: 662-655-0457
Mrs. Christy Le Anne Egbert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620
Misty Burton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir, Southaven, MS 38671 Phone: 662-349-2659
Rebecca Holly T Robertson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620
Debra Gail Gill, RNC, MSN, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4892 Briarton Dr, Southaven, MS 38672 Phone: 901-262-0332
Jessica N Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Physicians Ln, Southaven, MS 38671 Phone: 662-655-2136

Elizabeth R Jackson, NP - Medicare Nurse Practitioner in Southaven, MS