| Tanya Lynn Jackson, FNP-BC | |
|
105 N Cedar St, Gleason, TN 38229-7264 | |
| (731) 648-5634 | |
| (731) 648-9155 |
| Full Name | Tanya Lynn Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 105 N Cedar St, Gleason, Tennessee |
| 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 |
|---|---|---|---|
| 1205132206 | NPI | - | NPPES |
| 3380640 | Other | TN | MEDICARE GROUP |
| 3380640 | Other | TN | MEDICAID GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 15540 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tennessee Quality Care - Home Health | Parsons, TN | Home health agency |
| Baptist Memorial Home Care | Huntingdon, TN | Home health agency |
| Amedisys Home Health Care | Jackson, TN | Home health agency |
| Baptist Memorial Hospital - Carroll County | Huntingdon, TN | Hospital |
| Volunteer Community Hospital | Martin, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mckenzie Medical Center Pc | 2365427853 | 26 |
| Entity Name | Mckenzie Medical Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700534229 PECOS PAC ID: 2365427853 Enrollment ID: O20040619000083 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanya Lynn Jackson, FNP-BC 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 Ph: (731) 352-7907 | Tanya Lynn Jackson, FNP-BC 105 N Cedar St, Gleason, TN 38229-7264 Ph: (731) 648-5634 |
Mrs. Michele Ellert, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 549 E Union St, Gleason, TN 38229 Phone: 731-333-0957 Fax: 833-764-4567 | |
Meike Alexandra Bridgeman, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 549 E Union St, Gleason, TN 38229 Phone: 731-333-0957 Fax: 833-764-4567 |