Ms Tara Leigh Jackson, FNP-BC - Medicare Nurse Practitioner in Ansted, WV

Ms Tara Leigh Jackson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Ansted, West Virginia. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hcma Consultants Inc and her current practice location is 123 James River & Kanawha Turnpike, Ansted, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 228-6809.

Ms Tara Leigh Jackson is licensed to practice in West Virginia (license number 67047) 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 1790028082.

Contact Information

Ms Tara Leigh Jackson, FNP-BC
123 James River & Kanawha Turnpike,
Ansted, WV 25812
(304) 228-6809
(304) 658-4690



Provider's Profile

Full NameMs Tara Leigh Jackson
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location123 James River & Kanawha Turnpike, Ansted, West Virginia
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:
  • Ms Tara Leigh Jackson graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1790028082
  • Provider Enumeration Date: 04/04/2013
  • Last Update Date: 04/04/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5395972608
  • Enrollment ID: I20131212000343

Medical Identifiers

Medical identifiers for Ms Tara Leigh Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790028082NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 67047 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Charleston Area Medical CenterCharleston, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hcma Consultants Inc14562562393

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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. Ms Tara Leigh Jackson allows following entities to bill medicare on her behalf.
Entity NameHcma Consultants Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932190865
PECOS PAC ID: 1456256239
Enrollment ID: O20031204000691

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Entity NameGeps Physician Group Of West Virginia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457729212
PECOS PAC ID: 6800105446
Enrollment ID: O20151021001008

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Entity NameHospice Of Southern West Virginia, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871686717
PECOS PAC ID: 4981600228
Enrollment ID: O20161031000369

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Entity NameGps Physician Group, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881109452
PECOS PAC ID: 9739447400
Enrollment ID: O20180205001943

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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. Ms Tara Leigh 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
Ms Tara Leigh Jackson, FNP-BC
123 James River & Kanawha Turnpike,
Ansted, WV 25812

Ph: (304) 228-6809
Ms Tara Leigh Jackson, FNP-BC
123 James River & Kanawha Turnpike,
Ansted, WV 25812

Ph: (304) 228-6809

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Nurse Practitioner Nurses in Ansted, WV

Patricia Lewis, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: Po Box A, Ansted, WV 25812
Phone: 304-658-6005    Fax: 314-472-1362
Ms. Shawna Lynn Adkins-cox, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 123 James River & Kanawha Turnpike, Ansted, WV 25812
Phone: 304-222-4756    Fax: 304-658-4690

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