Kimberly Hatch Jackson, ARNP - Medicare Nurse Practitioner in Mayo, FL

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Kimberly Hatch Jackson, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Mayo, Florida. Her current practice location is 140 Sw Virginia Cir, Mayo, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 294-1321.

Kimberly Hatch Jackson is licensed to practice in Florida (license number ARNP 9265719) 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 1215171798.

Contact Information

Kimberly Hatch Jackson, ARNP
140 Sw Virginia Cir,
Mayo, FL 32066-4064
(386) 294-1321
(386) 294-3876

Map and Direction




Provider's Profile

Full NameKimberly Hatch Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location140 Sw Virginia Cir, Mayo, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215171798
  • Provider Enumeration Date: 04/28/2009
  • Last Update Date: 04/28/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 3476606385
  • Enrollment ID: I20090724000377

Medical Identifiers

Medical identifiers for Kimberly Hatch Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215171798NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family ARNP 9265719 (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. Kimberly Hatch Jackson allows following entities to bill medicare on her behalf.
Entity NameDoctors Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285709451
PECOS PAC ID: 5092614503
Enrollment ID: O20040114000009

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. Kimberly Hatch 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
Kimberly Hatch Jackson, ARNP
140 Sw Virginia Cir, Po Box 1806,
Mayo, FL 32066-4064

Ph: (386) 294-1321		Kimberly Hatch Jackson, ARNP
140 Sw Virginia Cir,
Mayo, FL 32066-4064

Ph: (386) 294-1321

Reviews and Comments


Nurse Practitioner Nurses in Mayo, FL

Claire Kalandek,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8784 W Us 27, Mayo, FL 32066
Phone: 386-294-4500    
Marla Driver, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 117 Sw Virginia Cir, Mayo, FL 32066
Phone: 386-294-2475    Fax: 386-294-2478
Debbi Roessler Rye, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 710 W Main St, Mayo, FL 32066
Phone: 386-294-1226    Fax: 386-294-4218
Hillary Byrd, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1113 Ne County Road 410, Mayo, FL 32066
Phone: 386-294-1224    

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.