Mr Mark Wayne Jackson, CRNA in Knoxville, TN - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Mark Wayne Jackson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Knoxville, Tennessee. He graduated from nursing school in 1987 and has 38 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Lifelinc Anesthesia Viii Pllc, Commonwealth Health Corporation, Inc. and his current practice location is 1901 Clinch Ave, Knoxville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 331-1111.

Mr Mark Wayne Jackson is licensed to practice in Tennessee (license number 9250) 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 1043438443.

Contact Information

	Mr Mark Wayne Jackson, CRNA
	1901 Clinch Ave, Knoxville, TN 37916-2307
	(865) 331-1111
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Mark Wayne Jackson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	38 Years
Location	1901 Clinch Ave, Knoxville, Tennessee
Accepts Medicare Assignments	Yes. 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 Mark Wayne Jackson graduated from nursing school in 1987

NPI Data:

NPI Number: 1043438443
Provider Enumeration Date: 04/23/2007
Last Update Date: 01/06/2022

Medicare PECOS Information:

PECOS PAC ID: 4880615111
Enrollment ID: I20051214000106

Medical Identifiers

Medical identifiers for Mr Mark Wayne Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043438443	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1123A (Kentucky)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	9250 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cookeville Regional Medical Center	Cookeville, TN	Hospital
The Medical Center (bowling Green)	Bowling green, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifelinc Anesthesia Viii Pllc	3173984762	67
Commonwealth Health Corporation, Inc.	5496667628	391

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 Mark Wayne Jackson allows following entities to bill medicare on his behalf.

Entity Name	American Anesthesiology Of Tennessee Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364

Entity Name	Lifelinc Anesthesia Ii, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821397233 PECOS PAC ID: 2668658493 Enrollment ID: O20110512000311

Entity Name	Physynergy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124455969 PECOS PAC ID: 6204081292 Enrollment ID: O20131127000891

Entity Name	Lifelinc Anesthesia Viii Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679265052 PECOS PAC ID: 3173984762 Enrollment ID: O20230728002666

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 Mark Wayne 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
Mr Mark Wayne Jackson, CRNA 68 S Service Rd Ste 350, Melville, NY 11747-2358 Ph: () -	Mr Mark Wayne Jackson, CRNA 1901 Clinch Ave, Knoxville, TN 37916-2307 Ph: (865) 331-1111

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Knoxville, TN

Andrea Kathryn Kottmeier, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1311 Dowell Springs Blvd, Knoxville, TN 37909 Phone: 865-588-5121
James Ryan Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Clinch Ave, Knoxville, TN 37916 Phone: 865-342-9098
Michelle L Palmer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787
Alejandro Conde, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1924 Alcoa Hwy, Knoxville, TN 37920 Phone: 865-305-9000
Elizabeth Stevens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787
Matthew Townsend Mustard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1901 Clinch Ave, Knoxville, TN 37916 Phone: 865-331-1111
Gregory William Hagopian, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787

Mr Mark Wayne Jackson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Knoxville, TN