Gloria L Jackson, CRNP - Medicare Nurse Practitioner in Sewell, NJ

Gloria L Jackson, CRNP is a medicare enrolled "Nurse Practitioner" in Sewell, New Jersey. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kennedy Medical Group Practice, P.c. and her current practice location is 900 Medical Center Dr Ste 200, Sewell, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 557-7900.

Gloria L Jackson is licensed to practice in New Jersey (license number 26NJ00058800) 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 1013035294.

Contact Information

Gloria L Jackson, CRNP
900 Medical Center Dr Ste 200,
Sewell, NJ 08080-2358
(856) 557-7900
Not Available



Provider's Profile

Full NameGloria L Jackson
GenderFemale
SpecialityNurse Practitioner
Experience23 Years
Location900 Medical Center Dr Ste 200, Sewell, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gloria L Jackson graduated from nursing school in 2001
  NPI Data:
  • NPI Number: 1013035294
  • Provider Enumeration Date: 03/27/2007
  • Last Update Date: 12/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7012012206
  • Enrollment ID: I20200106001271

Medical Identifiers

Medical identifiers for Gloria L Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013035294NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner SP007231 (Pennsylvania)Secondary
363L00000XNurse Practitioner 26NJ00058800 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jefferson Stratford HospitalStratford, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kennedy Medical Group Practice, P.c.2860616877321

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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. Gloria L Jackson allows following entities to bill medicare on her behalf.
Entity NameKennedy Medical Group Practice, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952726796
PECOS PAC ID: 2860616877
Enrollment ID: O20140613000689

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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. Gloria L 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
Gloria L Jackson, CRNP
3400 Civic Center Blvd, Pcam 4 West,
Philadelphia, PA 19104

Ph: (215) 615-5858
Gloria L Jackson, CRNP
900 Medical Center Dr Ste 200,
Sewell, NJ 08080-2358

Ph: (856) 557-7900

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Nurse Practitioner Nurses in Sewell, NJ

Rosalin Ivanay Thompson-cordoba, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 239 Hurffville Crosskeys Rd Ste 2, Sewell, NJ 08080
Phone: 856-262-8300    
Ms. Alaina Marie Guiliana, FNP-BC RN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 307 Egg Harbor Rd, Sewell, NJ 08080
Phone: 186-638-9272    
Mr. Michael Joseph Kinney, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 405 Hurffville Crosskeys Rd Ste 203, Sewell, NJ 08080
Phone: 856-582-0033    Fax: 856-582-2305
Parminder Bath Sohal,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 900 Medical Center Dr Ste 200, Sewell, NJ 08080
Phone: 856-557-7900    
Dawn Topper,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Kings Way E Ste B1, Sewell, NJ 08080
Phone: 856-536-1515    Fax: 856-412-5324
Mrs. Lisa Elizabeth Pope, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 555 Egg Harbor Rd, Sewell, NJ 08080
Phone: 856-582-2500    

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