Mrs Koscher Denee Jackson, NP in Brandon, MS - Medicare Nurse Practitioner

Mrs Koscher Denee Jackson, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Brandon, Mississippi. Her current practice location is 613 Marquette Rd, Brandon, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 824-0342.

Mrs Koscher Denee Jackson is licensed to practice in Mississippi (license number R865579) 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 1417350182.

Contact Information

	Mrs Koscher Denee Jackson, NP
	613 Marquette Rd, Brandon, MS 39042-3038
	(601) 824-0342
	(601) 824-0349

Map and Direction

Provider's Profile

Full Name	Mrs Koscher Denee Jackson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	613 Marquette Rd, Brandon, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417350182
Provider Enumeration Date: 10/08/2014
Last Update Date: 03/22/2021

Medicare PECOS Information:

PECOS PAC ID: 1052635638
Enrollment ID: I20150130002248

Medical Identifiers

Medical identifiers for Mrs Koscher Denee Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417350182	NPI	-	NPPES
R865579	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R865579 (Mississippi)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R865579 (Mississippi)	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 Koscher Denee Jackson allows following entities to bill medicare on her behalf.

Entity Name	Region Ten State Of Ms
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073626511 PECOS PAC ID: 4284605353 Enrollment ID: O20040803000571

Entity Name	Madison Rankin Simpson Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063428761 PECOS PAC ID: 4284671181 Enrollment ID: O20050412001203

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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 Koscher Denee 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 Koscher Denee Jackson, NP Po Box 88, Brandon, MS 39043-0088 Ph: (601) 824-0342	Mrs Koscher Denee Jackson, NP 613 Marquette Rd, Brandon, MS 39042-3038 Ph: (601) 824-0342

Reviews and Comments

Nurse Practitioner Nurses in Brandon, MS

Brandy Nicole Newsome Byrd, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 Marquette Rd, Brandon, MS 39042 Phone: 601-824-0342
Mrs. Brittany Lauren Hall, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1645 W Government St Ste F, Brandon, MS 39042 Phone: 601-829-6600
Ladonna Baker Delariva, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3949 Ms-43, Brandon, MS 39047 Phone: 855-712-7627
Michael George Shaw, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 Pebble Hill Dr, Brandon, MS 39042 Phone: 601-941-6897
Mrs. Brittany Chantriece Burage, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Avalon Way Ste C, Brandon, MS 39047 Phone: 601-573-7012
Kayla Bailey Harris, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1645 W Government St Ste F, Brandon, MS 39042 Phone: 601-829-6600 Fax: 601-825-1291
Jasmine Arlean Blanks, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Avalon Way Ste C, Brandon, MS 39047 Phone: 601-992-9790

Mrs Koscher Denee Jackson, NP - Medicare Nurse Practitioner in Brandon, MS