Kayla Brockwell Jackson, ARNP - Medicare Nurse Practitioner in Louisville, KY

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Kayla Brockwell Jackson, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Louisville, Kentucky. Her current practice location is 1 Audubon Plaza Dr, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 636-7225.

Kayla Brockwell Jackson is licensed to practice in Kentucky (license number 4020267) 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 1740800788.

Contact Information

Kayla Brockwell Jackson, ARNP
1 Audubon Plaza Dr,
Louisville, KY 40217-1318
(502) 636-7225
(502) 636-8032

Map and Direction




Provider's Profile

Full NameKayla Brockwell Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location1 Audubon Plaza Dr, Louisville, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740800788
  • Provider Enumeration Date: 04/20/2020
  • Last Update Date: 10/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4789006966
  • Enrollment ID: I20200616002125

Medical Identifiers

Medical identifiers for Kayla Brockwell Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740800788NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1081653 (Texas)Secondary
363LA2100XNurse Practitioner - Acute Care 71009988A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 71009988A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 4020267 (Kentucky)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. Kayla Brockwell Jackson allows following entities to bill medicare on her behalf.
Entity NameIndiana University Health Southern Indiana Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013953983
PECOS PAC ID: 6204748197
Enrollment ID: O20040423000556
Entity NameFloyd Emergency Medicine Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194869255
PECOS PAC ID: 8921172255
Enrollment ID: O20080805000703

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. Kayla Brockwell 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
Kayla Brockwell Jackson, ARNP
Po Box 776351,
Chicago, IL 60677-6351

Ph: (502) 588-9490		Kayla Brockwell Jackson, ARNP
1 Audubon Plaza Dr,
Louisville, KY 40217-1318

Ph: (502) 636-7225

Reviews and Comments


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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.