Mrs Jami Victoria Davis-jackson, ACNP BC in Alton, IL

Mrs Jami Victoria Davis-jackson, ACNP BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Alton, Illinois. She went to St. Louis College Of Physicians And Surgeons and graduated in 2005 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeastern Physician Services Pc, Cogent Medical Care Pc and her current practice location is 1 Saint Anthonys Way, Alton, Illinois. You can reach out to her office (for appointments etc.) via phone at (314) 317-0600.

Mrs Jami Victoria Davis-jackson is licensed to practice in Illinois (license number 209-007873) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629243886.

Contact Information

	Mrs Jami Victoria Davis-jackson, ACNP BC
	1 Saint Anthonys Way, Alton, IL 62002-4568
	(314) 317-0600
	(314) 317-0606

Map and Direction

Provider's Profile

Full Name	Mrs Jami Victoria Davis-jackson
Gender	Female
Speciality	Nurse Practitioner
Experience	21 Years
Location	1 Saint Anthonys Way, Alton, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Jami Victoria Davis-jackson attended and graduated from St. Louis College Of Physicians And Surgeons in 2005

NPI Data:

NPI Number: 1629243886
Provider Enumeration Date: 04/28/2008
Last Update Date: 04/22/2014

Medicare PECOS Information:

PECOS PAC ID: 7810050804
Enrollment ID: I20090119000031

Medical Identifiers

Medical identifiers for Mrs Jami Victoria Davis-jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629243886	NPI	-	NPPES
1629243886	Medicaid	IL
1629243886	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	209-007873 (Illinois)	Primary
363LA2100X	Nurse Practitioner - Acute Care	2001031602 (Missouri)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christian Hospital Northeast	Saint louis, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Physician Services Pc	0042307852	529
Cogent Medical Care Pc	7315836780	135

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 Jami Victoria Davis-jackson allows following entities to bill medicare on her behalf.

Entity Name	Cogent Healthcare Of Missouri Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780961599 PECOS PAC ID: 5597925099 Enrollment ID: O20120320000863

Entity Name	Southeastern Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20160809000235

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 Jami Victoria Davis-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
Mrs Jami Victoria Davis-jackson, ACNP BC 12101 Woodcrest Executive Dr, Suite 210, Saint Louis, MO 63141-5047 Ph: (314) 317-0600	Mrs Jami Victoria Davis-jackson, ACNP BC 1 Saint Anthonys Way, Alton, IL 62002-4568 Ph: (314) 317-0600

Reviews and Comments

Nurse Practitioner Nurses in Alton, IL

Mrs. Misty D Biciocchi, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr, Ste 134, Alton, IL 62002 Phone: 618-607-1340 Fax: 618-622-9724
Lee A Tardino, MSN ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002 Phone: 618-463-5905 Fax: 618-463-5935
Jodi R Lutz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Washington Ave, Alton, IL 62002 Phone: 314-687-2735
Shereece Nichole Wallace, DNP, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240
Laura L Brandenburg, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Memorial Dr, Ste 230b, Alton, IL 62002 Phone: 618-463-7777 Fax: 618-463-7767
Kelsey M Beard, FNP-BC, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002 Phone: 618-463-5905 Fax: 618-463-5035
Leah Knabe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Anthonys Way, Alton, IL 62002 Phone: 618-463-0248

Mrs Jami Victoria Davis-jackson, ACNP BC - Medicare Nurse Practitioner in Alton, IL