Jackson Davis Wright, FNP-C in Gastonia, NC - Medicare Nurse Practitioner

Jackson Davis Wright, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Gastonia, North Carolina. His current practice location is 2721 X Ray Dr, Gastonia, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 853-5079.

Jackson Davis Wright is licensed to practice in North Carolina (license number 5008061) 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 1225408461.

Contact Information

	Jackson Davis Wright, FNP-C
	2721 X Ray Dr, Gastonia, NC 28054
	(704) 853-5079
	(704) 810-7417

Map and Direction

Provider's Profile

Full Name	Jackson Davis Wright
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2721 X Ray Dr, Gastonia, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225408461
Provider Enumeration Date: 09/30/2015
Last Update Date: 08/29/2024

Medicare PECOS Information:

PECOS PAC ID: 9537462163
Enrollment ID: I20160114001833

Medical Identifiers

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

Identifier	Type	State	Issuer
1225408461	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024172753 (Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	5008061 (North Carolina)	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. Jackson Davis Wright allows following entities to bill medicare on his behalf.

Entity Name	Gaston Family Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215932215 PECOS PAC ID: 5496733925 Enrollment ID: O20040712000470

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. Jackson Davis Wright 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
Jackson Davis Wright, FNP-C 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: (704) 874-1904	Jackson Davis Wright, FNP-C 2721 X Ray Dr, Gastonia, NC 28054 Ph: (704) 853-5079

Reviews and Comments

Nurse Practitioner Nurses in Gastonia, NC

Ieachia T. Morris, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1337 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-671-5313
Jonathan Labayo Desamero, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3715 Union Rd, Gastonia, NC 28056 Phone: 704-854-8202
Susanna M Shepard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 N Highland St, Gastonia, NC 28052 Phone: 704-853-5294
Cecily Robin Smith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 Cox Rd, Gastonia, NC 28054 Phone: 704-865-1700 Fax: 704-865-7948
Sonya Nanette Belin, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3050 Riverwood Pkwy Ste B, Gastonia, NC 28056 Phone: 047-874-9005
Mrs. Shannon Bumgardner Standish, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 Cox Rd Ste 201, Gastonia, NC 28054 Phone: 704-864-8302 Fax: 704-864-0228
Nora Davis Paysour, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 Fax: 704-834-3274

Jackson Davis Wright, FNP-C - Medicare Nurse Practitioner in Gastonia, NC