Mrs Willa Samette Jackson, LPN - Licensed Practical Nurse in Clinton, OH

Mrs Willa Samette Jackson, LPN is a Licensed Practical Nurse based in Clinton, Ohio. Mrs Willa Samette Jackson is licensed to practice in Ohio (license number PN097350) and her current practice location is 3067 Bronco Dr, Clinton, Ohio. She can be reached at her office (for appointments etc.) via phone at (330) 825-0388.

NPI number for Mrs Willa Samette Jackson is 1982996245 and her current mailing address is 3067 Bronco Dr, Clinton, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982996245.

Contact Information

Mrs Willa Samette Jackson, LPN
3067 Bronco Dr,
Clinton, OH 44216-9736
(330) 825-0388
Not Available

Map and Direction




Provider's Profile

Full NameMrs Willa Samette Jackson
GenderFemale
SpecialityLicensed Practical Nurse
Location3067 Bronco Dr, Clinton, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1982996245
  • Provider Enumeration Date: 05/04/2011
  • Last Update Date: 05/04/2011

Medical Identifiers

Medical identifiers for Mrs Willa Samette Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982996245NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse PN097350 (Ohio)Primary

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 Willa Samette Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Willa Samette Jackson, LPN
3067 Bronco Dr,
Clinton, OH 44216-9736

Ph: (330) 825-0388
Mrs Willa Samette Jackson, LPN
3067 Bronco Dr,
Clinton, OH 44216-9736

Ph: (330) 825-0388

Reviews and Comments


Licensed Practical Nurse Nurses in Clinton, OH

Joe Farris, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 6694 Taylor Rd, Clinton, OH 44216
Phone: 330-854-0708    Fax: 234-678-6919
Karen Gene Nitzel, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 8177 Cleve Mass Rd Lot 30, Clinton, OH 44216
Phone: 330-573-8606    
Mark Andrew Bolois,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 6694 Taylor Rd, Clinton, OH 44216
Phone: 330-825-5202    Fax: 234-678-6919
Mrs. Elizabeth Rhoades, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 442 Comet Ln, Clinton, OH 44216
Phone: 330-882-5683    Fax: 330-882-5683
Mrs. Mary Lynne Boss, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 449 E Comet Rd, Clinton, OH 44216
Phone: 330-882-4926    
Deborah Pamer, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 6694 Taylor Rd, Clinton, OH 44216
Phone: 330-825-5202    

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.