Jacquelyn Lee Jackson, RN in Gilbert, AZ - Medicare Nurse Practitioner

Jacquelyn Lee Jackson, RN is a medicare enrolled "Nurse Practitioner" in Gilbert, Arizona. Her current practice location is 3681 S Buckaroo Trl, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 242-0087.

Jacquelyn Lee Jackson is licensed to practice in Arizona (license number 320980) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972271237.

Contact Information

	Jacquelyn Lee Jackson, RN
	3681 S Buckaroo Trl, Gilbert, AZ 85297-7968
	(480) 242-0087
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacquelyn Lee Jackson
Gender	Female
Speciality	Nurse Practitioner
Location	3681 S Buckaroo Trl, Gilbert, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972271237
Provider Enumeration Date: 09/01/2021
Last Update Date: 04/08/2025

Medicare PECOS Information:

PECOS PAC ID: 6608390422
Enrollment ID: I20250414001127

Medical Identifiers

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

Identifier	Type	State	Issuer
1972271237	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	320980 (Arizona)	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. Jacquelyn Lee Jackson allows following entities to bill medicare on her behalf.

Entity Name	Phoenix Children's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704

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. Jacquelyn Lee 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
Jacquelyn Lee Jackson, RN 3681 S Buckaroo Trl, Gilbert, AZ 85297-7968 Ph: (480) 242-0087	Jacquelyn Lee Jackson, RN 3681 S Buckaroo Trl, Gilbert, AZ 85297-7968 Ph: (480) 242-0087

Reviews and Comments

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Jacquelyn Lee Jackson, RN - Medicare Nurse Practitioner in Gilbert, AZ