Mr Charles E Jackson, FNP-C - Medicare Nurse Practitioner in Arlington, VA

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Mr Charles E Jackson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Arlington, Virginia. He went to George Washington University School Of Medicine and graduated in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Inova Ucc Llc, Inova Ucc Llc and his current practice location is 4600 Langston Blvd, Arlington, Virginia. You can reach out to his office (for appointments etc.) via phone at (571) 492-3080.

Mr Charles E Jackson is licensed to practice in Virginia (license number 0024178860) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871995803.

Contact Information

Mr Charles E Jackson, FNP-C
4600 Langston Blvd,
Arlington, VA 22207
(571) 492-3080
(571) 491-3081

Map and Direction




Provider's Profile

Full NameMr Charles E Jackson
GenderMale
SpecialityNurse Practitioner
Experience12 Years
Location4600 Langston Blvd, Arlington, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Charles E Jackson attended and graduated from George Washington University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1871995803
  • Provider Enumeration Date: 09/22/2014
  • Last Update Date: 05/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7810219268
  • Enrollment ID: I20181015003332

Medical Identifiers

Medical identifiers for Mr Charles E Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871995803NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5007190 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family RN1049831 (District Of Columbia)Secondary
363LF0000XNurse Practitioner - Family 0024178860 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Inova Ucc Llc7012385040120
Inova Ucc Llc7012385040120

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. Mr Charles E Jackson allows following entities to bill medicare on his behalf.
Entity NameMedical Faculty Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417990581
PECOS PAC ID: 4082528898
Enrollment ID: O20031117000341
Entity NameInova Health Care Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275886418
PECOS PAC ID: 2466351093
Enrollment ID: O20121219000193
Entity NameMedstar Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871843409
PECOS PAC ID: 9335303155
Enrollment ID: O20130513000540
Entity NameInova Ucc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508592114
PECOS PAC ID: 7012385040
Enrollment ID: O20221201001300

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. Mr Charles E 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
Mr Charles E Jackson, FNP-C
Po Box 37174,
Baltimore, MD 21297-3174

Ph: (571) 423-5699		Mr Charles E Jackson, FNP-C
4600 Langston Blvd,
Arlington, VA 22207

Ph: (571) 492-3080

Reviews and Comments


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Ms. Carol Cecilia Gibson, NURSE PRACTITIONER
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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.