Stefanie M Jackson, ARNP in Lake City, FL - Medicare Nurse Practitioner

Stefanie M Jackson, ARNP is a medicare enrolled "Nurse Practitioner" in Lake City, Florida. She graduated from nursing school in 1995 and has 30 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Internal Medicine Pllc and her current practice location is 1289 Sw State Road 47, Lake City, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 755-0421.

Stefanie M Jackson is licensed to practice in Florida (license number ARNP 2620432) 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 1346204427.

Contact Information

	Stefanie M Jackson, ARNP
	1289 Sw State Road 47, Lake City, FL 32025-0484
	(386) 755-0421
	(386) 487-1234

Map and Direction

Provider's Profile

Full Name	Stefanie M Jackson
Gender	Female
Speciality	Nurse Practitioner
Experience	30 Years
Location	1289 Sw State Road 47, Lake City, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stefanie M Jackson graduated from nursing school in 1995

NPI Data:

NPI Number: 1346204427
Provider Enumeration Date: 04/14/2006
Last Update Date: 06/25/2010

Medicare PECOS Information:

PECOS PAC ID: 3577567551
Enrollment ID: I20060906000015

Medical Identifiers

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

Identifier	Type	State	Issuer
1346204427	NPI	-	NPPES
ARNP2620432	Other	FL	MEDICAL LICENSE
275262	Other	FL	AVMED
363L00000X	Other	FL	TAXONOMY CODE
DE000Z	Other	FL	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	ARNP 2620432 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lake City Medical Center	Lake city, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Internal Medicine Pllc	7618052580	5

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. Stefanie M Jackson allows following entities to bill medicare on her behalf.

Entity Name	Southern Internal Medicine Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912188624 PECOS PAC ID: 7618052580 Enrollment ID: O20080318000015

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. Stefanie M 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
Stefanie M Jackson, ARNP 1289 Sw State Road 47, Lake City, FL 32025-0484 Ph: (386) 755-0421	Stefanie M Jackson, ARNP 1289 Sw State Road 47, Lake City, FL 32025-0484 Ph: (386) 755-0421

Reviews and Comments

Nurse Practitioner Nurses in Lake City, FL

Mrs. Heather Langston Finnell, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 W Duval St, Lake City, FL 32055 Phone: 386-755-3300 Fax: 386-755-8595
Delanie Sharpe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3140 Nw Medical Center Ln Ste 140, Lake City, FL 32055 Phone: 386-438-5095
Ms. Ester Llarinas Gamboa, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-754-6456
Lacey Dawn Geiger, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Nw Commerce Dr, Lake City, FL 32055 Phone: 386-719-9000
Jan Kenneth Gonzales, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4251 Nw American Ln, Lake City, FL 32055 Phone: 386-758-6143
Ms. Lindsay Campbell, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 619 South Marion Avenue 11 Fa, Department Of Veterans Affairs Medical Center, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-254-6456
Samantha Lawrence, ARNP, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1140 Sw Bascom Norris Dr Ste 104, Lake City, FL 32025 Phone: 386-719-6500

Stefanie M Jackson, ARNP - Medicare Nurse Practitioner in Lake City, FL