Valerie Thresa Jackson, - Medicare Nurse Practitioner in Canton, MS

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Valerie Thresa Jackson, is a medicare enrolled "Nurse Practitioner - Family" in Canton, Mississippi. Her current practice location is 1171 Hart St, Canton, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 622-2428.

Valerie Thresa Jackson is licensed to practice in Mississippi (license number 9049998) 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 1609402304.

Contact Information

Valerie Thresa Jackson,
1171 Hart St,
Canton, MS 39046-4805
(601) 622-2428
Not Available

Map and Direction




Provider's Profile

Full NameValerie Thresa Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location1171 Hart St, Canton, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609402304
  • Provider Enumeration Date: 03/14/2020
  • Last Update Date: 09/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1759752710
  • Enrollment ID: I20230130002204

Medical Identifiers

Medical identifiers for Valerie Thresa Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609402304NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WH0500XRegistered Nurse - Hemodialysis R865187 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family 9049998 (Mississippi)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. Valerie Thresa Jackson allows following entities to bill medicare on her behalf.
Entity NameFast Pace Mississippi Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447769559
PECOS PAC ID: 3678832029
Enrollment ID: O20180111000291

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. Valerie Thresa 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
Valerie Thresa Jackson,
1171 Hart St,
Canton, MS 39046-4805

Ph: (601) 622-2428		Valerie Thresa Jackson,
1171 Hart St,
Canton, MS 39046-4805

Ph: (601) 622-2428

Reviews and Comments


Nurse Practitioner Nurses in Canton, MS

Latoya Sojourney, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1171 Hart St, Canton, MS 39046
Phone: 601-859-9888    Fax: 601-859-9966
Okshoon Scott, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1171 Hart St, Canton, MS 39046
Phone: 601-859-9888    Fax: 601-859-9966
Ms. Kiara Diontea Merchant, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1171 Hart St, Canton, MS 39046
Phone: 601-859-9888    
Mrs. Rebecca Truelove Moore, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 156 River Oaks Dr, Suite A, Canton, MS 39046
Phone: 601-855-5287    
Angela Jones-stewart, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1668 W Peace St, Canton, MS 39046
Phone: 601-859-5213    Fax: 601-859-8771
Shamekka Nicolette Skinner,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1668 W Peace St, Canton, MS 39046
Phone: 601-859-5213    
Stephanie Terry, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1668 W Peace St, Canton, MS 39046
Phone: 601-859-5213    Fax: 601-859-8771

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.