Joann Michelle Jackson, PSYD in South Bend, IN - Medicare Clinical Psychologist Provider

Joann Michelle Jackson, PSYD is a medicare enrolled "Psychologist" provider in South Bend, Indiana. She graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Oaklawn Psychiatric Center Inc and her current practice location is 403 E Madison St, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 533-1234.

Joann Michelle Jackson is licensed to practice in Indiana (license number 20040982A) 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 1194739904.

Contact Information

	Joann Michelle Jackson, PSYD
	403 E Madison St, South Bend, IN 46617-2322
	(574) 533-1234
	(574) 537-2652

Map and Direction

Healthcare Provider's Profile

Full Name	Joann Michelle Jackson
Gender	Female
Speciality	Clinical Psychologist
Experience	31 Years
Location	403 E Madison St, South Bend, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Joann Michelle Jackson graduated from medical school in 1993

NPI Data:

NPI Number: 1194739904
Provider Enumeration Date: 07/28/2006
Last Update Date: 09/27/2010

Medicare PECOS Information:

PECOS PAC ID: 2668652173
Enrollment ID: I20150513001859

Medical Identifiers

Medical identifiers for Joann Michelle Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194739904	NPI	-	NPPES
200200700A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	20040982A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oaklawn Psychiatric Center Inc	6002801065	58

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. Joann Michelle Jackson allows following entities to bill medicare on her behalf.

Entity Name	Oaklawn Psychiatric Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598847212 PECOS PAC ID: 6002801065 Enrollment ID: O20040507000706

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. Joann Michelle 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 Address	Practice Location Address
Joann Michelle Jackson, PSYD 330 Lakeview Dr, Goshen, IN 46528-9365 Ph: (574) 533-1234	Joann Michelle Jackson, PSYD 403 E Madison St, South Bend, IN 46617-2322 Ph: (574) 533-1234

Reviews and Comments

Psychologist in South Bend, IN

Rachel Njuguna, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131
Barbara S Searle, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3603 E Jefferson Blvd, Suiteb, South Bend, IN 46615 Phone: 574-237-1003 Fax: 574-237-1006
Dr. George Gilbert Moss, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 22057 Sandybrook Dr, South Bend, IN 46628 Phone: 574-514-4302
Nicole Gebadlo, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2505 E Jefferson Blvd, South Bend, IN 46615 Phone: 574-289-4831 Fax: 574-234-2075
Vaughn Thomas Mawhinney, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 828 E Colfax Ave, South Bend, IN 46617 Phone: 574-251-1531 Fax: 574-234-5710
Jack Garden, HSPP Psychologist Medicare: Medicare Enrolled Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131

Joann Michelle Jackson, PSYD - Medicare Psychologist in South Bend, IN