Raichatou Ann Jackson, - Medicare Certified Registered Nurse Anesthetist (crna) in Sioux City, IA

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Raichatou Ann Jackson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sioux City, Iowa. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Anesthesia Consultants Pc, Siouxland Anesthesiology Ltd, Sanford Medical Center and her current practice location is 2720 Stone Park Blvd, Sioux City, Iowa. You can reach out to her office (for appointments etc.) via phone at (712) 279-3500.

Raichatou Ann Jackson is licensed to practice in Iowa (license number D139906) 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 1033596861.

Contact Information

Raichatou Ann Jackson,
2720 Stone Park Blvd,
Sioux City, IA 51104-3734
(712) 279-3500
Not Available

Map and Direction




Provider's Profile

Full NameRaichatou Ann Jackson
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience11 Years
Location2720 Stone Park Blvd, Sioux City, Iowa
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:
  • Raichatou Ann Jackson graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1033596861
  • Provider Enumeration Date: 04/30/2015
  • Last Update Date: 07/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9436479284
  • Enrollment ID: I20150519002562

Medical Identifiers

Medical identifiers for Raichatou Ann Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033596861NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered D139906 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Dunes Surgical HospitalDakota dunes, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Consultants Pc610371662619
Siouxland Anesthesiology Ltd266845306925
Sanford Medical Center8325950215750

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. Raichatou Ann Jackson allows following entities to bill medicare on her behalf.
Entity NameNorthwest Iowa Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215962550
PECOS PAC ID: 0749198026
Enrollment ID: O20040217000619
Entity NameAnesthesia Consultants Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497854574
PECOS PAC ID: 6103716626
Enrollment ID: O20040318000486
Entity NameNorth Central Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851802763
PECOS PAC ID: 0941568117
Enrollment ID: O20180103002111

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. Raichatou Ann 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
Raichatou Ann Jackson,
2720 Stone Park Blvd,
Sioux City, IA 51104-3734

Ph: (712) 279-3500		Raichatou Ann Jackson,
2720 Stone Park Blvd,
Sioux City, IA 51104-3734

Ph: (712) 279-3500

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Sioux City, IA

Lance D Breit, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104
Phone: 712-255-2324    
Robert Baczwaski, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104
Phone: 712-255-2324    
Patrick Menke, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104
Phone: 712-279-3500    
Deborah Carter, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 801 5th St, Sioux City, IA 51101
Phone: 712-279-2505    
Mr. Robert A Schoenfelder, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104
Phone: 712-279-3290    
Kathleen S Manning, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104
Phone: 712-255-2324    

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.