Kelly Len Jackson, NP - Medicare Registered Nurse in Lawrenceville, GA

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Kelly Len Jackson, NP is a medicare enrolled "Registered Nurse - Oncology" in Lawrenceville, Georgia. Her current practice location is 771 Old Norcross Rd Ste 165, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 442-3121.

Kelly Len Jackson is licensed to practice in Georgia (license number RN143526) 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 1174761498.

Contact Information

Kelly Len Jackson, NP
771 Old Norcross Rd Ste 165,
Lawrenceville, GA 30046-4979
(678) 442-3121
Not Available

Map and Direction




Provider's Profile

Full NameKelly Len Jackson
GenderFemale
SpecialityRegistered Nurse - Oncology
Location771 Old Norcross Rd Ste 165, Lawrenceville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174761498
  • Provider Enumeration Date: 01/23/2009
  • Last Update Date: 11/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2567627896
  • Enrollment ID: I20120711000388

Medical Identifiers

Medical identifiers for Kelly Len Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174761498NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WX0200XRegistered Nurse - Oncology RN143526 (Georgia)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. Kelly Len Jackson allows following entities to bill medicare on her behalf.
Entity NameBlood & Marrow Transplant Group Of Georgia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700809159
PECOS PAC ID: 0840285102
Enrollment ID: O20040416000377

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. Kelly Len 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
Kelly Len Jackson, NP
771 Old Norcross Rd Ste 165,
Lawrenceville, GA 30046-4979

Ph: (678) 442-3121		Kelly Len Jackson, NP
771 Old Norcross Rd Ste 165,
Lawrenceville, GA 30046-4979

Ph: (678) 442-3121

Reviews and Comments


Registered Nurse Nurses in Lawrenceville, GA

Barbara O'callaghan, RN, NP
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 631 Professional Drive, 450, Lawrenceville, GA 30046
Phone: 770-963-8030    Fax: 770-339-9577
Glory Osadiaye, PMHNP, MSN, BSN, RN
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 250 Constitution Blvd, Lawrenceville, GA 30046
Phone: 470-844-0157    Fax: 678-539-8899
Gaelle Pierre,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2695 Sugarloaf Pkwy, Lawrenceville, GA 30045
Phone: 678-430-8144    
Harriet Adigwu, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046
Phone: 678-209-2394    
Dr. Richard Ameh Onoja, DNP
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 1838 Old Norcross Rd Ste 400, Lawrenceville, GA 30044
Phone: 470-795-7695    Fax: 678-585-6997
Mrs. Latrina Graham, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046
Phone: 678-209-2394    
Abidemi Macgregor,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 762 Lynnfield Dr, Lawrenceville, GA 30045
Phone: 678-727-6192    

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.

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