Keosha Jackson, - Medicare Nurse Practitioner in Arcadia, FL

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Keosha Jackson, is a medicare enrolled "Nurse Practitioner - Family" in Arcadia, Florida. Her current practice location is 1843 Sw Hendry St, Arcadia, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 962-2020.

Keosha Jackson is licensed to practice in Florida (license number 11002349) 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 1982261467.

Contact Information

Keosha Jackson,
1843 Sw Hendry St,
Arcadia, FL 34266-8999
(941) 962-2020
Not Available

Map and Direction




Provider's Profile

Full NameKeosha Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location1843 Sw Hendry St, Arcadia, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982261467
  • Provider Enumeration Date: 05/21/2019
  • Last Update Date: 05/21/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6103157763
  • Enrollment ID: I20230731002924

Medical Identifiers

Medical identifiers for Keosha Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982261467NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 11002349 (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. Keosha Jackson allows following entities to bill medicare on her behalf.
Entity NameInnovative Infusions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699428490
PECOS PAC ID: 6608054044
Enrollment ID: O20220901002445

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. Keosha 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
Keosha Jackson,
1843 Sw Hendry St,
Arcadia, FL 34266-8999

Ph: (941) 962-2020		Keosha Jackson,
1843 Sw Hendry St,
Arcadia, FL 34266-8999

Ph: (941) 962-2020

Reviews and Comments


Nurse Practitioner Nurses in Arcadia, FL

Angela Johnson Register, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266
Phone: 863-494-1242    Fax: 863-491-0466
Terence Ryan Vereen, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266
Phone: 863-494-1242    Fax: 863-491-0466
Kaydean J Vickers, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266
Phone: 863-494-1242    
Dr. Chandra R Parsley, DNP, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1031 E Oak St, Arcadia, FL 34266
Phone: 863-491-7580    Fax: 863-491-7584
Mr. Douglas Scott Quirk, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266
Phone: 863-494-1242    Fax: 863-491-0466
Sadeep Kumbhamuelil John, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266
Phone: 863-494-1242    Fax: 863-993-0108
Mr. King David Mungin Sr., ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266
Phone: 863-494-1242    

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.