Macheri Jackson, in Gilbert, AZ - Medicare Nurse Practitioner

Macheri Jackson, is a medicare enrolled "Nurse Practitioner - Family" in Gilbert, Arizona. Her current practice location is 161 E Rivulon Blvd Ste 210, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 494-2465.

Macheri Jackson is licensed to practice in Georgia (license number RN-244704) 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 1902622178.

Contact Information

	Macheri Jackson,
	161 E Rivulon Blvd Ste 210, Gilbert, AZ 85297-0087
	(480) 494-2465
	Not Available

Map and Direction

Provider's Profile

Full Name	Macheri Jackson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	161 E Rivulon Blvd Ste 210, Gilbert, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902622178
Provider Enumeration Date: 12/03/2024
Last Update Date: 12/03/2024

Medicare PECOS Information:

PECOS PAC ID: 7618405952
Enrollment ID: I20250114001725

Medical Identifiers

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

Identifier	Type	State	Issuer
1902622178	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN-244704 (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. Macheri Jackson allows following entities to bill medicare on her behalf.

Entity Name	Aim Healthcare Providers Vt, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649014705 PECOS PAC ID: 9830637719 Enrollment ID: O20240812000848

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. Macheri 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
Macheri Jackson, 380 Lava Ln, Union City, GA 30291-5187 Ph: (229) 256-9353	Macheri Jackson, 161 E Rivulon Blvd Ste 210, Gilbert, AZ 85297-0087 Ph: (480) 494-2465

Reviews and Comments

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Macheri Jackson, - Medicare Nurse Practitioner in Gilbert, AZ