| Stacey Jackson, FNP-C | |
|
1604 Hospital Pkwy Ste 100, Bedford, TX 76022-5913 | |
| (817) 848-2880 | |
| (817) 848-2890 |
| Full Name | Stacey Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 1604 Hospital Pkwy Ste 100, Bedford, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134645674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP134528 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oak Street Health Of Texas Pllc | 2163843038 | 91 |
| Entity Name | Oak Street Health Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497387419 PECOS PAC ID: 2163843038 Enrollment ID: O20200601001767 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Jackson, FNP-C Po Box 746079, Atlanta, GA 30374-6079 Ph: (817) 848-2880 | Stacey Jackson, FNP-C 1604 Hospital Pkwy Ste 100, Bedford, TX 76022-5913 Ph: (817) 848-2880 |
Ms. Olayemi Ononogbu, APRN, FNP-C, PMHNP-B Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 Airport Fwy Ste 220, Bedford, TX 76021 Phone: 817-358-5800 | |
Anitha Tinu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1999 Forest Ridge Dr, Bedford, TX 76021 Phone: 214-492-3917 Fax: 972-506-3007 | |
Sarah Weber, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 Airport Fwy Ste 503, Bedford, TX 76022 Phone: 972-402-9300 | |
Mrs. Florence Folaranmi Oni, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1305 Airport Fwy Ste 220, Bedford, TX 76021 Phone: 817-358-5800 Fax: 817-283-7686 | |
Amanda Dutro, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 Airport Fwy, Bedford, TX 76021 Phone: 817-684-3500 Fax: 817-684-3510 | |
Susan Carol Imke, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1305 Airport Fwy, Suite 205, Bedford, TX 76021 Phone: 817-267-6290 Fax: 817-267-0950 | |
Britney Molini, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1924 Forest Ridge Dr Ste 400, Bedford, TX 76021 Phone: 817-551-7707 Fax: 833-972-3547 |