Dr Starr Shalae Jackson, - Medicare Nurse Anesthetist, Certified Registered in Staten Island, NY

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Dr Starr Shalae Jackson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Staten Island, New York. Her current practice location is 2627 Hylan Blvd, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (646) 533-0990.

Dr Starr Shalae Jackson is licensed to practice in New York (license number 663663) 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 1578197588.

Contact Information

Dr Starr Shalae Jackson,
2627 Hylan Blvd,
Staten Island, NY 10306-4344
(646) 533-0990
Not Available

Map and Direction




Provider's Profile

Full NameDr Starr Shalae Jackson
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location2627 Hylan Blvd, Staten Island, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578197588
  • Provider Enumeration Date: 02/28/2020
  • Last Update Date: 02/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9537698535
  • Enrollment ID: I20250121000910

Medical Identifiers

Medical identifiers for Dr Starr Shalae Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578197588NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice 345211 (New York)Secondary
207Q00000XFamily Medicine 345211 (New York)Secondary
208VP0014XPain Medicine - Interventional Pain Medicine 345211 (New York)Secondary
367500000XNurse Anesthetist, Certified Registered 663663 (New York)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. Dr Starr Shalae Jackson allows following entities to bill medicare on her behalf.
Entity NameNorth American Partners In Anesthesia Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649264706
PECOS PAC ID: 7719885771
Enrollment ID: O20040108000176

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. Dr Starr Shalae 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
Dr Starr Shalae Jackson,
1305 Walt Whitman Rd Ste 300,
Melville, NY 11747-4300

Ph: (516) 945-3000		Dr Starr Shalae Jackson,
2627 Hylan Blvd,
Staten Island, NY 10306-4344

Ph: (646) 533-0990

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Staten Island, NY

Mr. Ishu Kumar,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 411 Holdridge Ave, Staten Island, NY 10312
Phone: 646-358-2549    
Edjona Groysman,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 130 Stroud Ave, Staten Island, NY 10312
Phone: 347-215-2015    
Zachary M Lewter, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 355 Bard Ave, Staten Island, NY 10310
Phone: 718-818-1234    
Lisa Jean Pierre,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 475 Seaview Ave, Staten Island, NY 10305
Phone: 718-226-9000    
Tomcy Varghese, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 355 Bard Ave, Staten Island, NY 10310
Phone: 718-818-1234    
Cheryl Clements, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 355 Bard Ave, Staten Island, NY 10310
Phone: 718-818-1234    
Shehzad Ahmed,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 355 Bard Ave, Staten Island, NY 10310
Phone: 718-818-1234    

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.