Mrs Koscher Denee Jackson, NP - Medicare Nurse Practitioner in Brandon, MS

Mrs Koscher Denee Jackson, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Brandon, Mississippi. Her current practice location is 613 Marquette Rd, Brandon, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 824-0342.

Mrs Koscher Denee Jackson is licensed to practice in Mississippi (license number R865579) 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 1417350182.

Contact Information

Mrs Koscher Denee Jackson, NP
613 Marquette Rd,
Brandon, MS 39042-3038
(601) 824-0342
(601) 824-0349



Provider's Profile

Full NameMrs Koscher Denee Jackson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location613 Marquette Rd, Brandon, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417350182
  • Provider Enumeration Date: 10/08/2014
  • Last Update Date: 03/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1052635638
  • Enrollment ID: I20150130002248

Medical Identifiers

Medical identifiers for Mrs Koscher Denee Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417350182NPI-NPPES
R865579MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R865579 (Mississippi)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health R865579 (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. Mrs Koscher Denee Jackson allows following entities to bill medicare on her behalf.
Entity NameRegion Ten State Of Ms
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073626511
PECOS PAC ID: 4284605353
Enrollment ID: O20040803000571

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Entity NameMadison Rankin Simpson Mental Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063428761
PECOS PAC ID: 4284671181
Enrollment ID: O20050412001203

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Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575

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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. Mrs Koscher Denee 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
Mrs Koscher Denee Jackson, NP
Po Box 88,
Brandon, MS 39043-0088

Ph: (601) 824-0342
Mrs Koscher Denee Jackson, NP
613 Marquette Rd,
Brandon, MS 39042-3038

Ph: (601) 824-0342

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Nurse Practitioner Nurses in Brandon, MS

Brandy Nicole Newsome Byrd, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 613 Marquette Rd, Brandon, MS 39042
Phone: 601-824-0342    
Mrs. Brittany Lauren Hall, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1645 W Government St Ste F, Brandon, MS 39042
Phone: 601-829-6600    
Ladonna Baker Delariva, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3949 Ms-43, Brandon, MS 39047
Phone: 855-712-7627    
Michael George Shaw, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 23 Pebble Hill Dr, Brandon, MS 39042
Phone: 601-941-6897    
Mrs. Brittany Chantriece Burage, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 501 Avalon Way Ste C, Brandon, MS 39047
Phone: 601-573-7012    
Kayla Bailey Harris, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1645 W Government St Ste F, Brandon, MS 39042
Phone: 601-829-6600    Fax: 601-825-1291
Jasmine Arlean Blanks, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 501 Avalon Way Ste C, Brandon, MS 39047
Phone: 601-992-9790    

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