Racine Dominique Jackson, NP in Alexandria, LA

Racine Dominique Jackson, NP is a medicare enrolled "Nurse Practitioner - Family" in Alexandria, Louisiana. Her current practice location is 211 4th St, Alexandria, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 769-3000.

Racine Dominique Jackson is licensed to practice in Louisiana (license number 229255) 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 1073216719.

Contact Information

	Racine Dominique Jackson, NP
	211 4th St, Alexandria, LA 71301-8421
	(318) 769-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Racine Dominique Jackson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	211 4th St, Alexandria, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073216719
Provider Enumeration Date: 03/22/2023
Last Update Date: 10/05/2025

Medicare PECOS Information:

PECOS PAC ID: 5092169474
Enrollment ID: I20231004001283

Medical Identifiers

Medical identifiers for Racine Dominique Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073216719	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	229255 (Louisiana)	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. Racine Dominique Jackson allows following entities to bill medicare on her behalf.

Entity Name	Pelican State Outpatient Center - Caro Clinic L. L. C.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467507913 PECOS PAC ID: 8022051234 Enrollment ID: O20100628000040

Entity Name	Calcasieu Cameron Hospital Medicine Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659764967 PECOS PAC ID: 1557688421 Enrollment ID: O20150402002192

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. Racine Dominique 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
Racine Dominique Jackson, NP 2525 W Orice Roth Rd Apt 1510, Gonzales, LA 70737-5336 Ph: (225) 348-3997	Racine Dominique Jackson, NP 211 4th St, Alexandria, LA 71301-8421 Ph: (318) 769-3000

Reviews and Comments

Nurse Practitioner Nurses in Alexandria, LA

Stefanie Harris Corley, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 4th St, Alexandria, LA 71301 Phone: 318-545-0655
Melanie Leonard Taylor, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 S Macarthur Dr, Alexandria, LA 71301 Phone: 318-448-6800
Lisa Latel Lee, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Medical Center Dr # 250, Alexandria, LA 71301 Phone: 318-473-4613
Nancy Carol Grass-ferguson, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 Versailles Blvd, Alexandria, LA 71303 Phone: 318-201-5307 Fax: 318-484-4800
Mrs. Heather Renee Rachal, CPNP-AC/PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 217 Brevard Ct Ste D, Alexandria, LA 71303 Phone: 318-777-6887
Jessica Floyd, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 Constitution Dr, Alexandria, LA 71303 Phone: 318-316-9286 Fax: 318-704-0642
Tracie Givens, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3704 North Blvd Ste D, Alexandria, LA 71301 Phone: 318-528-3200 Fax: 318-528-3201

Racine Dominique Jackson, NP - Medicare Nurse Practitioner in Alexandria, LA