Samantha Jackson, in Belleview, FL - Medicare Nurse Practitioner

Samantha Jackson, is a medicare enrolled "Nurse Practitioner" in Belleview, Florida. Her current practice location is 5051 Se 110th St, Belleview, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 732-6599.

Samantha Jackson is licensed to practice in Florida (license number 11032487) 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 1922855295.

Contact Information

	Samantha Jackson,
	5051 Se 110th St, Belleview, FL 34420-3115
	(352) 732-6599
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Jackson
Gender	Female
Speciality	Nurse Practitioner
Location	5051 Se 110th St, Belleview, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922855295
Provider Enumeration Date: 05/03/2024
Last Update Date: 08/20/2025

Medicare PECOS Information:

PECOS PAC ID: 3577007194
Enrollment ID: I20240706000154

Medical Identifiers

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

Identifier	Type	State	Issuer
1922855295	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	11032487 (Florida)	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. Samantha Jackson allows following entities to bill medicare on her behalf.

Entity Name	Ocala Health Primary Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720398456 PECOS PAC ID: 9931398120 Enrollment ID: O20110104000321

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. Samantha 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
Samantha Jackson, 5051 Se 110th St, Belleview, FL 34420-3115 Ph: (352) 732-6599	Samantha Jackson, 5051 Se 110th St, Belleview, FL 34420-3115 Ph: (352) 732-6599

Reviews and Comments

Nurse Practitioner Nurses in Belleview, FL

Tracy Lee Riddle, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10762 Se Us Highway 441, Belleview, FL 34420 Phone: 352-347-5225 Fax: 352-347-1073
Mrs. Victoria Leigh Himes, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6006 Se Abshier Blvd, Belleview, FL 34420 Phone: 813-385-1288
Sabrina Kelli Graham, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4850 Se 110th St, Belleview, FL 34420 Phone: 352-233-2360 Fax: 352-233-2363
Molly Ann Poucher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8014 Se 121st Pl, Belleview, FL 34420 Phone: 352-620-5178
Brandi Leigh Butler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12310 Se 49th Ter, Belleview, FL 34420 Phone: 205-275-8676
Christy Ellen Blackburn, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3651 Se 97th Ln, Belleview, FL 34420 Phone: 352-342-6985
Allison S Brewer-reed, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10696 Se Us Highway 441, Belleview, FL 34420 Phone: 352-245-1111 Fax: 352-245-1435

Samantha Jackson, - Medicare Nurse Practitioner in Belleview, FL