Jackie Hakeem Hawkins, in El Dorado, AR - Medicare Nurse Anesthetist, Certified Registered

Jackie Hakeem Hawkins, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in El Dorado, Arkansas. His current practice location is 700 W Grove St, El Dorado, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 864-3390.

Jackie Hakeem Hawkins is licensed to practice in Arkansas (license number 230133) 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 1083448898.

Contact Information

	Jackie Hakeem Hawkins,
	700 W Grove St, El Dorado, AR 71730-4416
	(870) 864-3390
	(870) 864-2152

Map and Direction

Provider's Profile

Full Name	Jackie Hakeem Hawkins
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	700 W Grove St, El Dorado, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083448898
Provider Enumeration Date: 08/26/2024
Last Update Date: 08/26/2024

Medicare PECOS Information:

PECOS PAC ID: 6204367865
Enrollment ID: I20241007002036

Medical Identifiers

Medical identifiers for Jackie Hakeem Hawkins such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083448898	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	230133 (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. Jackie Hakeem Hawkins allows following entities to bill medicare on his behalf.

Entity Name	Youngs Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20200218000624

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. Jackie Hakeem Hawkins 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
Jackie Hakeem Hawkins, 2019 Richmond Rd # 209, Texarkana, TX 75503-2406 Ph: (430) 274-4671	Jackie Hakeem Hawkins, 700 W Grove St, El Dorado, AR 71730-4416 Ph: (870) 864-3390

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in El Dorado, AR

Lauren Van Ness, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 W. Grove St, El Dorado, AR 71730 Phone: 870-863-2000
Steven Robert Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 W Grove St, El Dorado, AR 71730 Phone: 870-863-2000
Courtney Soza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 W Grove St, El Dorado, AR 71730 Phone: 870-863-2000
Levi Nathaniel Maggard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 W Grove St, El Dorado, AR 71730 Phone: 870-863-2000
Joseph J. Burroff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 W Grove St, El Dorado, AR 71730 Phone: 954-838-2371
Patrick N. Copes, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 700 W Grove St, El Dorado, AR 71730 Phone: 954-838-2371

Jackie Hakeem Hawkins, - Medicare Nurse Anesthetist, Certified Registered in El Dorado, AR