Kenneth S Jackson, FNP - Medicare Nurse Practitioner in Bruceton, TN

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Kenneth S Jackson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bruceton, Tennessee. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mckenzie Medical Center Pc and his current practice location is 123 Maple St, Bruceton, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 586-4800.

Kenneth S Jackson is licensed to practice in Tennessee (license number 17382) 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 1811237001.

Contact Information

Kenneth S Jackson, FNP
123 Maple St,
Bruceton, TN 38317-1819
(731) 586-4800
(731) 352-4459

Map and Direction




Provider's Profile

Full NameKenneth S Jackson
GenderMale
SpecialityNurse Practitioner
Experience14 Years
Location123 Maple St, Bruceton, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kenneth S Jackson graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1811237001
  • Provider Enumeration Date: 02/25/2013
  • Last Update Date: 10/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2163663931
  • Enrollment ID: I20130722000341

Medical Identifiers

Medical identifiers for Kenneth S Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811237001NPI-NPPES
3380640OtherTNGROUP MEDICAID
3380640OtherTNGROUP MEDICARE
10350I2435OtherTNMEDICARE PTAN
Q001235MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 17382 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Extendicare Home Health Of West TnDyersburg, TNHome health agency
Volunteer Home CareHumboldt, TNHome health agency
Beacon Home HealthJackson, TNHome health agency
Baptist Memorial Home CareHuntingdon, TNHome health agency
Baptist Memorial Hospital - Carroll CountyHuntingdon, TNHospital
West Tennessee Healthcare Camden HospitalCamden, TNHospital
Jackson-madison County General HospitalJackson, TNHospital
West Tennessee Healthcare Henry County HospitalParis, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mckenzie Medical Center Pc236542785332

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. Kenneth S Jackson allows following entities to bill medicare on his behalf.
Entity NameMckenzie Medical Center PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700534229
PECOS PAC ID: 2365427853
Enrollment ID: O20040619000083

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. Kenneth S 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
Kenneth S Jackson, FNP
205 Hospital Dr, Suite A,
Mc Kenzie, TN 38201-1649

Ph: (731) 352-7907		Kenneth S Jackson, FNP
123 Maple St,
Bruceton, TN 38317-1819

Ph: (731) 586-4800

Reviews and Comments



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.