Kylee Jackson, FNP-BC in Tulsa, OK - Medicare Nurse Practitioner

Kylee Jackson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Tulsa, Oklahoma. Her current practice location is 4444 S Harvard Ave Ste 300, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 992-6400.

Kylee Jackson is licensed to practice in Oklahoma (license number 216736) 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 1013771161.

Contact Information

	Kylee Jackson, FNP-BC
	4444 S Harvard Ave Ste 300, Tulsa, OK 74135-2611
	(918) 992-6400
	Not Available

Map and Direction

Provider's Profile

Full Name	Kylee Jackson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4444 S Harvard Ave Ste 300, Tulsa, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013771161
Provider Enumeration Date: 02/09/2024
Last Update Date: 02/23/2024

Medicare PECOS Information:

PECOS PAC ID: 6901241538
Enrollment ID: I20240305001587

Medical Identifiers

Medical identifiers for Kylee Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013771161	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	216736 (Oklahoma)	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. Kylee Jackson allows following entities to bill medicare on her behalf.

Entity Name	Florence House Family Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831834902 PECOS PAC ID: 3173993482 Enrollment ID: O20230103001115

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. Kylee 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 Address	Practice Location Address
Kylee Jackson, FNP-BC Po Box 1294, Inola, OK 74036-1294 Ph: (918) 693-8393	Kylee Jackson, FNP-BC 4444 S Harvard Ave Ste 300, Tulsa, OK 74135-2611 Ph: (918) 992-6400

Reviews and Comments

Nurse Practitioner Nurses in Tulsa, OK

Jennifer Christa Pimentel, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6565 S Yale Ave Ste 209, Tulsa, OK 74136 Phone: 918-392-4550 Fax: 918-392-4551
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Stephanie Ann Adame, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12697 E 51st St, Tulsa, OK 74146 Phone: 918-505-3200
Mrs. Susan Elaine Graham, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2408 E 81st St Ste 900, Tulsa, OK 74137 Phone: 918-319-5021 Fax: 918-477-5853
Lisa Michele Sample, AG-ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-2200

Kylee Jackson, FNP-BC - Medicare Nurse Practitioner in Tulsa, OK