Tara Renae Jackson, CRNA in Dallas, TX - Medicare Certified Registered Nurse Anesthetist (crna)

Tara Renae Jackson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dallas, Texas. She graduated from nursing school in 2011 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Premier Anesthesia Of Huntsville A Division Of Premier Anesthesia Llc and her current practice location is 13737 Noel Rd, Ste 1400, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 715-5000.

Tara Renae Jackson is licensed to practice in Texas (license number 742952) 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 1992081343.

Contact Information

	Tara Renae Jackson, CRNA
	13737 Noel Rd, Ste 1400, Dallas, TX 75240-2004
	(972) 715-5000
	(972) 715-9976

Map and Direction

Provider's Profile

Full Name	Tara Renae Jackson
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	14 Years
Location	13737 Noel Rd, Dallas, 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.

Medical Education and Training:

Tara Renae Jackson graduated from nursing school in 2011

NPI Data:

NPI Number: 1992081343
Provider Enumeration Date: 10/31/2011
Last Update Date: 09/20/2013

Medicare PECOS Information:

PECOS PAC ID: 5890953384
Enrollment ID: I20120301000417

Medical Identifiers

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

Identifier	Type	State	Issuer
1992081343	NPI	-	NPPES
P01012907	Other	TX	RAILROAD
288779601	Medicaid	TX
8340UC	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	742952 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Medical City Alliance	Fort worth, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Anesthesia Of Huntsville A Division Of Premier Anesthesia Llc	7012045685	78

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. Tara Renae Jackson allows following entities to bill medicare on her behalf.

Entity Name	Northstar Anesthesia Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685

Entity Name	Premier Anesthesia Of Huntsville A Division Of Premier Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346570355 PECOS PAC ID: 7012045685 Enrollment ID: O20100503000712

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. Tara Renae 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
Tara Renae Jackson, CRNA Po Box 650426, Dallas, TX 75265-0426 Ph: (972) 715-5000	Tara Renae Jackson, CRNA 13737 Noel Rd, Ste 1400, Dallas, TX 75240-2004 Ph: (972) 715-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Dallas, TX

Mrs. Charity Cabrera Magcalas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Jennie A Potts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13601 Preston Rd, 1000w, Dallas, TX 75240 Phone: 972-715-5000
Eric Lara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5200 Harry Hines Blvd, Dallas, TX 75235 Phone: 469-419-2850
Ms. Justina Osagioduwa Nwokedi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6606 Lbj Fwy Ste 200, Dallas, TX 75240 Phone: 972-715-5000 Fax: 972-715-9976
Lauren Carter Segerson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Abigail Pinto Wood, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Hannah Neipp Murdock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976

Tara Renae Jackson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Dallas, TX