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

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Tiffany Michelle Jackson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Radford, Virginia. Her current practice location is 600 Randolph St, Radford, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 639-5300.

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
600 Randolph St,
Radford, VA 24141-2428
(540) 639-5300
Not Available

Map and Direction




Provider's Profile

Full NameTiffany Michelle Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location600 Randolph St, Radford, 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: 09/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123438777
  • Enrollment ID: I20210111001756

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 NameNational Institute Of Toxicology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558766501
PECOS PAC ID: 7719204593
Enrollment ID: O20180131000014

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
600 Randolph St,
Radford, VA 24141-2428

Ph: (540) 639-5300		Tiffany Michelle Jackson, FNP-C
600 Randolph St,
Radford, VA 24141-2428

Ph: (540) 639-5300

Reviews and Comments


Nurse Practitioner Nurses in Radford, VA

Ida E Sutherland, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 600 Randolph St, Radford, VA 24141
Phone: 540-639-5300    Fax: 540-639-4653
Jennifer Lynn Simpson, NP -BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 701 Randolph St Ste 120, Radford, VA 24141
Phone: 540-731-3200    
Jessica Dowdy Windle, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 600 Randolph St, Radford, VA 24141
Phone: 540-639-5300    
Ms. Deborah S Ring, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 801 E Main St, Box 7020, Radford, VA 24142
Phone: 540-831-7660    Fax: 540-831-7740
Mrs. Meredith Spencer, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 614 E Main St Ste B, Radford, VA 24141
Phone: 540-731-1600    Fax: 540-772-3444
Ms. April L Wilson, FNP,MSN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 701 Randolph St, Suite 120, Radford, VA 24141
Phone: 540-731-3200    Fax: 540-639-1048
Ms. Janice Marshall, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 801 W Main St, Box 7020, Radford, VA 24141
Phone: 540-831-7660    Fax: 540-831-7740

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.