Kelly L Donnell-jackson, RN, MSN, APN-C - Medicare Nurse Practitioner in Mount Laurel, NJ

Kelly L Donnell-jackson, RN, MSN, APN-C is a medicare enrolled "Nurse Practitioner - Family" in Mount Laurel, New Jersey. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Princeton Endocrinology Associates Llc, Endocrinology Associates, Llc and her current practice location is 1015 Briggs Rd, Mount Laurel, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 727-0900.

Kelly L Donnell-jackson is licensed to practice in New Jersey (license number 26NJ00060400) 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 1649475765.

Contact Information

Kelly L Donnell-jackson, RN, MSN, APN-C
1015 Briggs Rd,
Mount Laurel, NJ 08054-4115
(856) 727-0900
(856) 231-8428



Provider's Profile

Full NameKelly L Donnell-jackson
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location1015 Briggs Rd, Mount Laurel, 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:
  • Kelly L Donnell-jackson graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1649475765
  • Provider Enumeration Date: 06/19/2007
  • Last Update Date: 10/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8921185026
  • Enrollment ID: I20080414000076

Medical Identifiers

Medical identifiers for Kelly L Donnell-jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649475765NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 26NR09192400 (New Jersey)Secondary
363L00000XNurse Practitioner SP010454 (Pennsylvania)Secondary
363LF0000XNurse Practitioner - Family 26NJ00060400 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Princeton Endocrinology Associates Llc46887309223
Endocrinology Associates, Llc72140250892

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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. Kelly L Donnell-jackson allows following entities to bill medicare on her behalf.
Entity NamePrinceton Endocrinology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356587505
PECOS PAC ID: 4688730922
Enrollment ID: O20090311000497

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Entity NameVirtua Medical Group, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649226515
PECOS PAC ID: 9830222397
Enrollment ID: O20100804000338

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› Verified 7 days ago

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. Kelly L Donnell-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
Kelly L Donnell-jackson, RN, MSN, APN-C
301 Lippincott Dr Ste 410,
Marlton, NJ 08053-4197

Ph: (856) 355-0340
Kelly L Donnell-jackson, RN, MSN, APN-C
1015 Briggs Rd,
Mount Laurel, NJ 08054-4115

Ph: (856) 727-0900

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Nurse Practitioner Nurses in Mount Laurel, NJ

Mrs. Dianna M Shinkarow, MSN, APRN, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Century Pkwy Ste 140, Mount Laurel, NJ 08054
Phone: 856-380-2400    Fax: 856-234-7870
Ms. Erin Lynn Mccormick, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 501 Fellowship Rd, Mount Laurel, NJ 08054
Phone: 856-642-2133    
Mrs. Tieshau Middlebrooks, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1200 S Church St Ste 20, Mount Laurel, NJ 08054
Phone: 609-937-3491    Fax: 609-853-0221
Megan Canavan,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3201 Marne Hwy, Mount Laurel, NJ 08054
Phone: 856-235-2147    
Stephanie Ann Rogers, APN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054
Phone: 609-712-0796    
Jacqueline Burns, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3111 Route 38 Ste 11, Pmb 120, Mount Laurel, NJ 08054
Phone: 609-261-5755    Fax: 609-261-7199
Tracie Hawkins, MSN, APN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3906 Church Rd, Mount Laurel, NJ 08054
Phone: 856-266-5260    

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