Miss Amelia Jackson, FNP in White Marsh, MD - Medicare Nurse Practitioner

Miss Amelia Jackson, FNP is a medicare enrolled "Nurse Practitioner - Family" in White Marsh, Maryland. Her current practice location is 7923 Honeygo Blvd, White Marsh, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 344-2558.

Miss Amelia Jackson is licensed to practice in Maryland (license number R193680) 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 1588094304.

Contact Information

	Miss Amelia Jackson, FNP
	7923 Honeygo Blvd, White Marsh, MD 21236
	(410) 344-2558
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Amelia Jackson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	7923 Honeygo Blvd, White Marsh, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588094304
Provider Enumeration Date: 11/14/2013
Last Update Date: 11/14/2013

Medicare PECOS Information:

PECOS PAC ID: 7810213113
Enrollment ID: I20150304001020

Medical Identifiers

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

Identifier	Type	State	Issuer
1588094304	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R193680 (Maryland)	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. Miss Amelia Jackson allows following entities to bill medicare on her behalf.

Entity Name	Statcare Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780156455 PECOS PAC ID: 6709893803 Enrollment ID: O20060315000179

Entity Name	Statcare Group Iii, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902261308 PECOS PAC ID: 7214221472 Enrollment ID: O20160810002076

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. Miss Amelia 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
Miss Amelia Jackson, FNP 7923 Honeygo Blvd, White Marsh, MD 21236 Ph: (410) 344-2558	Miss Amelia Jackson, FNP 7923 Honeygo Blvd, White Marsh, MD 21236 Ph: (410) 344-2558

Reviews and Comments

Nurse Practitioner Nurses in White Marsh, MD

Amber Giesel Viel, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5430 Campbell Blvd, Suite 103, White Marsh, MD 21162 Phone: 410-933-9404 Fax: 410-933-9405
Ms. Alicia Lajuan Medina, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5609 Honeygo Ridge Ct, White Marsh, MD 21162 Phone: 410-908-8861
Dr. Jennifer Lynne Canapp, AGPCNP-BC, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11315 Holter Rd, White Marsh, MD 21162 Phone: 410-440-1475
Mrs. Chinyere Delicia Umezurike, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10513 Vincent Rd, White Marsh, MD 21162 Phone: 410-335-3657
Abiola O Dada, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5617 Crescent Ridge Dr, White Marsh, MD 21162 Phone: 443-854-1072
Ms. Marianne L Fingerhood, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4924 Campbell Boulevard, White Marsh, MD 21236 Phone: 443-442-2300 Fax: 443-442-2360

Miss Amelia Jackson, FNP - Medicare Nurse Practitioner in White Marsh, MD