Mrs Jessica Elise Jackson, PA-C - Medicare Physician Assistant in Moore, OK

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Mrs Jessica Elise Jackson, PA-C is a medicare enrolled "Physician Assistant" in Moore, Oklahoma. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Icare Center Llc and her current practice location is 2109 S Santa Fe Ave, Moore, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 213-0256.

Mrs Jessica Elise Jackson is licensed to practice in Oklahoma (license number 2725) 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 1023553187.

Contact Information

Mrs Jessica Elise Jackson, PA-C
2109 S Santa Fe Ave,
Moore, OK 73160-2807
(405) 213-0256
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jessica Elise Jackson
GenderFemale
SpecialityPhysician Assistant
Experience10 Years
Location2109 S Santa Fe Ave, Moore, Oklahoma
Accepts Medicare AssignmentsYes. 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 Jessica Elise Jackson graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1023553187
  • Provider Enumeration Date: 12/28/2016
  • Last Update Date: 01/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3577846104
  • Enrollment ID: I20170206002025

Medical Identifiers

Medical identifiers for Mrs Jessica Elise Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023553187NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (Oklahoma)Secondary
363A00000XPhysician Assistant 2725 (Oklahoma)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Icare Center Llc084055577728

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 Jessica Elise Jackson allows following entities to bill medicare on her behalf.
Entity NameMedical Resource Management LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104056365
PECOS PAC ID: 4082753918
Enrollment ID: O20100830000840
Entity NameIcare Center LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881190833
PECOS PAC ID: 0840555777
Enrollment ID: O20180524001890
Entity NameSignify Health LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210505002298

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 Jessica Elise 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 Jessica Elise Jackson, PA-C
12220 Greenlea Chase W,
Oklahoma City, OK 73170-6010

Ph: (405) 761-3256		Mrs Jessica Elise Jackson, PA-C
2109 S Santa Fe Ave,
Moore, OK 73160-2807

Ph: (405) 213-0256

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).

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.