Mr Jonathan Wesley Jackson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Laurinburg, NC

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Mr Jonathan Wesley Jackson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Laurinburg, North Carolina. He graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Scotland Memorial Hospital, Inc, Prolific Anesthesia Services Pllc and his current practice location is 500 Lauchwood Drive, Laurinburg, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 610-4011.

Mr Jonathan Wesley Jackson is licensed to practice in North Carolina (license number 190408) 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 1629273735.

Contact Information

Mr Jonathan Wesley Jackson, CRNA
500 Lauchwood Drive,
Laurinburg, NC 28352-5501
(910) 610-4011
(910) 276-9412

Map and Direction




Provider's Profile

Full NameMr Jonathan Wesley Jackson
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience19 Years
Location500 Lauchwood Drive, Laurinburg, North Carolina
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 Jonathan Wesley Jackson graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1629273735
  • Provider Enumeration Date: 06/19/2007
  • Last Update Date: 05/01/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6901997329
  • Enrollment ID: I20090808000070

Medical Identifiers

Medical identifiers for Mr Jonathan Wesley Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629273735NPI-NPPES
077609OtherNCCCNA CERTIFICATION
8053701MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered APRN3271 (South Carolina)Secondary
367500000XNurse Anesthetist, Certified Registered 190408 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Scotland Memorial HospitalLaurinburg, NCHospital
Wilson Medical CenterWilson, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Scotland Memorial Hospital, Inc0648208504174
Prolific Anesthesia Services Pllc488012603615

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 Jonathan Wesley Jackson allows following entities to bill medicare on his behalf.
Entity NamePinehurst Surgical Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962434324
PECOS PAC ID: 4587561394
Enrollment ID: O20031218000239
Entity NameFirsthealth Of The Carolinas Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053482596
PECOS PAC ID: 8820909377
Enrollment ID: O20040308000442
Entity NameScotland Memorial Hospital, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407840374
PECOS PAC ID: 0648208504
Enrollment ID: O20050803000659
Entity NameEast Carolina Anesthesia Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205996519
PECOS PAC ID: 5092720813
Enrollment ID: O20060215000791
Entity NameAnesthesia Care Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609833474
PECOS PAC ID: 7012937105
Enrollment ID: O20090813000373
Entity NameProlific Anesthesia Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669231452
PECOS PAC ID: 4880126036
Enrollment ID: O20241014002075

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 Jonathan Wesley 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 Jonathan Wesley Jackson, CRNA
Po Box 2257,
Laurinburg, NC 28353-2257

Ph: (910) 610-4011		Mr Jonathan Wesley Jackson, CRNA
500 Lauchwood Drive,
Laurinburg, NC 28352-5501

Ph: (910) 610-4011

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Laurinburg, NC

Emily Crabtree Purcell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 500 Lauchwood Dr, Laurinburg, NC 28352
Phone: 910-291-7720    
Dustin Harvey Melton, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 500 Lauchwood Dr, Laurinburg, NC 28352
Phone: 910-291-7171    Fax: 910-291-7180
Lee Ann Russell, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 500 E Lauchwood Dr, Laurinburg, NC 28352
Phone: 910-291-7000    
Alyssa Lattomus,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 500 Lauchwood Dr, Laurinburg, NC 28352
Phone: 910-291-7000    
Ms. Esther Cassidy, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 500 Lauchwood Dr, Laurinburg, NC 28352
Phone: 910-291-7000    
Craig Elliott Lowry I, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 500 Lauchwood Dr, Laurinburg, NC 28352
Phone: 910-736-1652    

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.