Mrs Bernice Jackson, NP - Medicare Nurse Practitioner in Bay Shore, NY

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Mrs Bernice Jackson, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bay Shore, New York. Her current practice location is 212 5th Ave, Bay Shore, New York. You can reach out to her office (for appointments etc.) via phone at (718) 299-7295.

Mrs Bernice Jackson is licensed to practice in New York (license number 405214) 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 1194493932.

Contact Information

Mrs Bernice Jackson, NP
212 5th Ave,
Bay Shore, NY 11706-6408
(718) 299-7295
Not Available

Map and Direction




Provider's Profile

Full NameMrs Bernice Jackson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location212 5th Ave, Bay Shore, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194493932
  • Provider Enumeration Date: 09/04/2021
  • Last Update Date: 05/29/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4082503933
  • Enrollment ID: I20211215002845

Medical Identifiers

Medical identifiers for Mrs Bernice Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194493932NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 310387 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 405214 (New York)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. Mrs Bernice Jackson allows following entities to bill medicare on her behalf.
Entity NameEssen Medical Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366418709
PECOS PAC ID: 1759353501
Enrollment ID: O20040811000885
Entity NameHouse Call Medical Services Of New York Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851345946
PECOS PAC ID: 2264517754
Enrollment ID: O20080307000427
Entity NameEssen Medical Urgicare, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841607298
PECOS PAC ID: 4385960897
Enrollment ID: O20150227000903

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. Mrs Bernice 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
Mrs Bernice Jackson, NP
680 Route 211 E Ste 3b367,
Middletown, NY 10941-1757

Ph: (914) 882-0618		Mrs Bernice Jackson, NP
212 5th Ave,
Bay Shore, NY 11706-6408

Ph: (718) 299-7295

Reviews and Comments


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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).

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