Tiffany Michelle Jackson, FNP-C - Medicare Nurse Practitioner in Laurel Fork, VA

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Tiffany Michelle Jackson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Laurel Fork, Virginia. Her current practice location is 14558 Danville Pike, Laurel Fork, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 398-2292.

Tiffany Michelle Jackson is licensed to practice in Virginia (license number 0024178133) 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 1073161642.

Contact Information

Tiffany Michelle Jackson, FNP-C
14558 Danville Pike,
Laurel Fork, VA 24352-3982
(276) 398-2292
(276) 398-3331

Map and Direction




Provider's Profile

Full NameTiffany Michelle Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location14558 Danville Pike, Laurel Fork, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073161642
  • Provider Enumeration Date: 08/27/2019
  • Last Update Date: 09/30/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8123438777
  • Enrollment ID: I20201110001825

Medical Identifiers

Medical identifiers for Tiffany Michelle Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073161642NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 0001197595 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 0024178133 (Virginia)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. Tiffany Michelle Jackson allows following entities to bill medicare on her behalf.
Entity NameFamily Health Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740393891
PECOS PAC ID: 9032250469
Enrollment ID: O20100107000655

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. Tiffany Michelle 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
Tiffany Michelle Jackson, FNP-C
Po Box 9,
Laurel Fork, VA 24352-0009

Ph: (276) 398-1200		Tiffany Michelle Jackson, FNP-C
14558 Danville Pike,
Laurel Fork, VA 24352-3982

Ph: (276) 398-2292

Reviews and Comments


Nurse Practitioner Nurses in Laurel Fork, VA

Mr. Walter Curtis Hodges Jr., DNP, FNP-C,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 14558 Danville Pike, Laurel Fork, VA 24352
Phone: 276-398-2292    Fax: 276-398-3331
Jacqueline L Webb, PNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 14558 Danville Pike, Laurel Fork, VA 24352
Phone: 276-398-2292    Fax: 273-398-3331
Dinah P Perdue, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 14558 Danville Pike, Laurel Fork, VA 24352
Phone: 276-398-2292    Fax: 276-398-3331
Laurie Klimczyk, AGNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 693 Oakwood Rd, Laurel Fork, VA 24352
Phone: 276-966-0711    Fax: 276-966-0711

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.