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 37 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Medical Group, P.c. 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	37 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: I20090630000370

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
Greenview Regional Hospital	Bowling green, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesia Medical Group, P.c.	6901702307	469

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	Northstar Anesthesia Of Kentucky, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386938900 PECOS PAC ID: 8628248069 Enrollment ID: O20110823000443

Entity Name	Anesthesia Medical Group, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215932413 PECOS PAC ID: 6901702307 Enrollment ID: O20140521001050

Entity Name	Professional Anesthesia Services Of Kentucky Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992212807 PECOS PAC ID: 0244590305 Enrollment ID: O20180209000936

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
Matthew S Clayton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 N Cedar Bluff Rd, Suite 300, Knoxville, TN 37923 Phone: 865-342-9012 Fax: 865-691-0943
Michelle L Palmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787
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
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
Wanda White, 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