Leslie K Jackson, CRNA - Medicare Anesthesiologist Assistant in Wilmington, DE

Leslie K Jackson, CRNA is a medicare enrolled "Anesthesiologist Assistant" in Wilmington, Delaware. Her current practice location is 1600 Rockland Road, Wilmington, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 651-4200.

Leslie K Jackson is licensed to practice in Delaware (license number L6-0A00529) 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 1215087689.

Contact Information

Leslie K Jackson, CRNA
1600 Rockland Road,
Wilmington, DE 19803-3607
(302) 651-4200
(302) 651-5365



Provider's Profile

Full NameLeslie K Jackson
GenderFemale
SpecialityAnesthesiologist Assistant
Location1600 Rockland Road, Wilmington, Delaware
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215087689
  • Provider Enumeration Date: 01/10/2007
  • Last Update Date: 10/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4385743707
  • Enrollment ID: I20070626000774

Medical Identifiers

Medical identifiers for Leslie K Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215087689NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN1004822 (District Of Columbia)Secondary
367500000XNurse Anesthetist, Certified Registered L6-0A00529 (Delaware)Secondary
367H00000XAnesthesiologist Assistant L6-0A00529 (Delaware)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. Leslie K Jackson allows following entities to bill medicare on her behalf.
Entity NameNorth American Partners In Anesthesia Delaware Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639110406
PECOS PAC ID: 0941113484
Enrollment ID: O20031211000736

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Entity NameBayhealth Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467546135
PECOS PAC ID: 1658364740
Enrollment ID: O20040405001600

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Entity NameBayhealth Medical Center, Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1023006434
PECOS PAC ID: 1658364740
Enrollment ID: O20160527000094

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Entity NameDelaware Center For Digestive Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558722561
PECOS PAC ID: 5890089353
Enrollment ID: O20160805000253

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Entity NameNcb Anesthesia Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962102582
PECOS PAC ID: 1557726130
Enrollment ID: O20230504000303

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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. Leslie K 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
Leslie K Jackson, CRNA
P O Box 191,
Rockland, DE 19723-0191

Ph: (302) 651-4000
Leslie K Jackson, CRNA
1600 Rockland Road,
Wilmington, DE 19803-3607

Ph: (302) 651-4200

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Anesthesiologist Assistant Nurses in Wilmington, DE

Mr. Larry Heredia, CRNA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Rockland Road, Wilmington, DE 19803
Phone: 302-651-4200    Fax: 302-651-5365
Ms. Megan K. Wilson, CRNA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1600 Rockland Road, Wilmington, DE 19803
Phone: 302-651-4200    Fax: 302-651-5365

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