Mrs Terrance Lashan Jackson, RN, MSN, PMHNP-BC in West Hollywood, CA

Mrs Terrance Lashan Jackson, RN, MSN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in West Hollywood, California. Her current practice location is 8605 Santa Monica Blvd, West Hollywood, California. You can reach out to her office (for appointments etc.) via phone at (310) 488-4351.

Mrs Terrance Lashan Jackson is licensed to practice in California (license number 95032559) 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 1063241255.

Contact Information

	Mrs Terrance Lashan Jackson, RN, MSN, PMHNP-BC
	8605 Santa Monica Blvd, West Hollywood, CA 90069-4109
	(310) 488-4351
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Terrance Lashan Jackson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	8605 Santa Monica Blvd, West Hollywood, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063241255
Provider Enumeration Date: 07/29/2024
Last Update Date: 03/06/2025

Medicare PECOS Information:

PECOS PAC ID: 7214465459
Enrollment ID: I20250115002279

Medical Identifiers

Medical identifiers for Mrs Terrance Lashan Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063241255	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95032559 (California)	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 Terrance Lashan Jackson allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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 Terrance Lashan 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 Terrance Lashan Jackson, RN, MSN, PMHNP-BC 8605 Santa Monica Blvd, West Hollywood, CA 90069-4109 Ph: (818) 405-8992	Mrs Terrance Lashan Jackson, RN, MSN, PMHNP-BC 8605 Santa Monica Blvd, West Hollywood, CA 90069-4109 Ph: (310) 488-4351

Reviews and Comments

Nurse Practitioner Nurses in West Hollywood, CA

Dr. Bernice Louise Coleman, PH.D, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, North Tower Room 6215, West Hollywood, CA 90048 Phone: 310-423-6178
Chiara Casas, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-3277
Ms. Sharon A Galvis, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, Tower 4311, West Hollywood, CA 90048 Phone: 310-423-4457 Fax: 310-423-2114
Dr. Andrea Banty, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-4100
Ivy Mckenzie Carson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8550 Santa Monica Blvd Fl 2, West Hollywood, CA 90069 Phone: 909-962-1260 Fax: 323-307-7140
Pamela Grace Silvestre Mondejar, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-3277
Mrs. Alexandra Elise Saborio, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, Becker Building 220, West Hollywood, CA 90048 Phone: 310-423-5252

Mrs Terrance Lashan Jackson, RN, MSN, PMHNP-BC - Medicare Nurse Practitioner in West Hollywood, CA