Jacob Jackson, APRN, CNP in Elk City, OK - Medicare Nurse Practitioner

Jacob Jackson, APRN, CNP is a medicare enrolled "Nurse Practitioner - Family" in Elk City, Oklahoma. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Farmers Union Hospital Association, Michael Robinson Medical Clinic, Llc and his current practice location is 1800 W 1st St Ste 105b, Elk City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 225-2518.

Jacob Jackson is licensed to practice in Oklahoma (license number 113330) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134629405.

Contact Information

	Jacob Jackson, APRN, CNP
	1800 W 1st St Ste 105b, Elk City, OK 73644-3133
	(580) 225-2518
	(580) 225-3167

Map and Direction

Provider's Profile

Full Name	Jacob Jackson
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	1800 W 1st St Ste 105b, Elk City, Oklahoma
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob Jackson graduated from nursing school in 2017

NPI Data:

NPI Number: 1134629405
Provider Enumeration Date: 02/13/2018
Last Update Date: 03/26/2020

Medicare PECOS Information:

PECOS PAC ID: 4082978143
Enrollment ID: I20180426001863

Medical Identifiers

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

Identifier	Type	State	Issuer
1134629405	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	113330 (Oklahoma)	Primary
163WM0705X	Registered Nurse - Medical-surgical	113330 (Oklahoma)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Great Plains Regional Medical Center	Elk city, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Farmers Union Hospital Association	7517949415	37
Michael Robinson Medical Clinic, Llc	2365689593	2

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. Jacob Jackson allows following entities to bill medicare on his behalf.

Entity Name	Farmers Union Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184639122 PECOS PAC ID: 7517949415 Enrollment ID: O20040603001383

Entity Name	Michael Robinson Medical Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649521568 PECOS PAC ID: 2365689593 Enrollment ID: O20130508000093

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. Jacob 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
Jacob Jackson, APRN, CNP Po Box 2339, Elk City, OK 73648-2339 Ph: (580) 225-2518	Jacob Jackson, APRN, CNP 1800 W 1st St Ste 105b, Elk City, OK 73644-3133 Ph: (580) 225-2518

Reviews and Comments

Nurse Practitioner Nurses in Elk City, OK

Kasee Mcarthur, APRN C-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 411 N Randall Ave, Elk City, OK 73644 Phone: 580-243-2273
Alicia K Price, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1710 W 3rd St, Elk City, OK 73644 Phone: 580-225-1290 Fax: 580-225-2178
Amanda Lynn Lafarlette, APRNC-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 411 N Randall Ave, Elk City, OK 73644 Phone: 580-243-2273 Fax: 580-243-2832
Joy Celsor, APRN, FNP-BC, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 209 S Jefferson Ave, Elk City, OK 73644 Phone: 580-799-5471
Rubi Ann Litteral, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 411 W 3rd St, Elk City, OK 73644 Phone: 580-303-9293 Fax: 580-540-3017
Katie Jane Robinson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2406 Bell Ave, Elk City, OK 73644 Phone: 580-303-7944 Fax: 580-210-5227

Jacob Jackson, APRN, CNP - Medicare Nurse Practitioner in Elk City, OK