Tamiko Jackson, - Medicare Nurse Practitioner in Myrtle Beach, SC

Tamiko Jackson, is a medicare enrolled "Nurse Practitioner - Family" in Myrtle Beach, South Carolina. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Grand Strand Surgical Specialists Llc and her current practice location is 920 Doug White Dr Ste 510, Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 497-7772.

Tamiko Jackson is licensed to practice in South Carolina (license number 20057) 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 1063875474.

Contact Information

Tamiko Jackson,
920 Doug White Dr Ste 510,
Myrtle Beach, SC 29572-4183
(843) 497-7772
(843) 848-7530



Provider's Profile

Full NameTamiko Jackson
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location920 Doug White Dr Ste 510, Myrtle Beach, South Carolina
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:
  • Tamiko Jackson graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1063875474
  • Provider Enumeration Date: 04/01/2016
  • Last Update Date: 01/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7012209885
  • Enrollment ID: I20160714002027

Medical Identifiers

Medical identifiers for Tamiko Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063875474NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 20057 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grand Strand Regional Medical CenterMyrtle beach, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grand Strand Surgical Specialists Llc408277065652

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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. Tamiko Jackson allows following entities to bill medicare on her behalf.
Entity NameGrand Strand Surgical Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841465804
PECOS PAC ID: 4082770656
Enrollment ID: O20090305000535

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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. Tamiko 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
Tamiko Jackson,
920 Doug White Dr Ste 510,
Myrtle Beach, SC 29572-4183

Ph: (843) 497-7772
Tamiko Jackson,
920 Doug White Dr Ste 510,
Myrtle Beach, SC 29572-4183

Ph: (843) 497-7772

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Biotage announced on 22 January 2009 that the company had decided to move the manufacturing of its products from its factory in Charlottesville, Virginia, to contract manufacturers and Biotage's manufacturing plant in Cardiff, Wales. The transfer of this business has now successfully been finalized.

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Nurse Practitioner Nurses in Myrtle Beach, SC

Wilma J Spencer, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7724 N Kings Hwy, Myrtle Beach, SC 29572
Phone: 843-663-1013    Fax: 843-663-1017
Mrs. Cyril Eunice Aboy Ferreras, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1303 38th Ave N, Myrtle Beach, SC 29577
Phone: 843-445-1697    
Mary Taylor Jackson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8121 Rourk St, Myrtle Beach, SC 29572
Phone: 843-692-5000    Fax: 843-692-5010
Mrs. Angela Kathline Naples, APRN FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572
Phone: 843-692-1000    
Mary E Byrd, DNP, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579
Phone: 843-236-2700    Fax: 843-236-2726
Alexander Petkovsek,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572
Phone: 843-497-6348    Fax: 843-497-6351
Mrs. June Jones, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3381 Phillis Blvd, Myrtle Beach, SC 29577
Phone: 843-477-0177    

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