Mary Marie Jackson, PMHNP-BC - Medicare Nurse Practitioner in Anderson, SC

Mary Marie Jackson, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Anderson, South Carolina. Her current practice location is 102 Buford Ave Ste A, Anderson, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 280-6551.

Mary Marie Jackson is licensed to practice in South Carolina (license number 27133) 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 1215637301.

Contact Information

Mary Marie Jackson, PMHNP-BC
102 Buford Ave Ste A,
Anderson, SC 29621-3365
(864) 280-6551
Not Available



Provider's Profile

Full NameMary Marie Jackson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location102 Buford Ave Ste A, Anderson, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215637301
  • Provider Enumeration Date: 03/07/2023
  • Last Update Date: 05/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8022465756
  • Enrollment ID: I20231116003390

Medical Identifiers

Medical identifiers for Mary Marie Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215637301NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 27133 (South Carolina)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. Mary Marie Jackson allows following entities to bill medicare on her behalf.
Entity NameAnmed Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710918321
PECOS PAC ID: 1951215243
Enrollment ID: O20031119000738

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› Verified 6 days ago

Entity NameAnmed Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639102270
PECOS PAC ID: 1951215243
Enrollment ID: O20040130000302

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› Verified 6 days ago

Entity NameErnest C. Martin, M.d., P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871555896
PECOS PAC ID: 5799764791
Enrollment ID: O20040714000966

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› Verified 6 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. Mary Marie 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
Mary Marie Jackson, PMHNP-BC
102 Buford Ave Ste A,
Anderson, SC 29621-3365

Ph: (864) 261-9506
Mary Marie Jackson, PMHNP-BC
102 Buford Ave Ste A,
Anderson, SC 29621-3365

Ph: (864) 280-6551

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› Verified 6 days ago


Nurse Practitioner Nurses in Anderson, SC

Ning Sun, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4144 Clemson Blvd, Anderson, SC 29621
Phone: 864-224-9598    
Elizabeth Anne Stuart Whitman, FNP-BC, DNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 600 N Fant St, Anderson, SC 29621
Phone: 864-512-2000    
Jennifer P Arnett, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2000 E Greenville St, Anderson, SC 29621
Phone: 864-512-1000    
Lacey Wilbanks,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 108 Montgomery Dr, Anderson, SC 29621
Phone: 864-225-5597    
Sarah Browne Long, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2000 E Greenville St, Ste 3850, Anderson, SC 29621
Phone: 864-225-5667    Fax: 864-716-6158
Cynthia Marie Petermann, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2001 E Greenville St, Anderson, SC 29621
Phone: 864-332-3098    Fax: 855-232-3959
Mrs. Jennifer Lingerfelt, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4120 Highway 24, Anderson, SC 29626
Phone: 864-224-4003    

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