Jade Brettney Jackson, PMHNP - Medicare Nurse Practitioner in Fort Myers, FL

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Jade Brettney Jackson, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Myers, Florida. Her current practice location is 4310 Metro Pkwy Ste 205, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 690-6906.

Jade Brettney Jackson is licensed to practice in Florida (license number 11033263) 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 1790540631.

Contact Information

Jade Brettney Jackson, PMHNP
4310 Metro Pkwy Ste 205,
Fort Myers, FL 33916-9416
(239) 690-6906
Not Available

Map and Direction




Provider's Profile

Full NameJade Brettney Jackson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location4310 Metro Pkwy Ste 205, Fort Myers, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790540631
  • Provider Enumeration Date: 02/20/2024
  • Last Update Date: 08/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6204370216
  • Enrollment ID: I20240702000506

Medical Identifiers

Medical identifiers for Jade Brettney Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790540631NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN9426818 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 11033263 (Florida)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. Jade Brettney Jackson allows following entities to bill medicare on her behalf.
Entity NameDna Comprehensive Therapy Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316363757
PECOS PAC ID: 2860619632
Enrollment ID: O20140819001276

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. Jade Brettney 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 AddressPractice Location Address
Jade Brettney Jackson, PMHNP
3154 Birchin Ln,
Fort Myers, FL 33916-4577

Ph: (239) 595-7000		Jade Brettney Jackson, PMHNP
4310 Metro Pkwy Ste 205,
Fort Myers, FL 33916-9416

Ph: (239) 690-6906

Reviews and Comments


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Denise M Mcpherson, ARNP
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Practice Location: 5225 Clayton Ct, Fort Myers, FL 33907
Phone: 239-343-8250    Fax: 239-343-8249

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.