| Kristyne Jackson, | |
|
2020 Brown St, Anderson, IN 46016-4218 | |
| (317) 574-1254 | |
| (317) 674-0060 |
| Full Name | Kristyne Jackson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2020 Brown St, Anderson, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063885333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34009745A (Indiana) | Primary |
| Entity Name | Centerstone of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristyne Jackson, 697 Pro Med Ln, Carmel, IN 46032-5323 Ph: (317) 574-1254 | Kristyne Jackson, 2020 Brown St, Anderson, IN 46016-4218 Ph: (317) 574-1254 |
Kevin R Anderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2210 Jackson St, Anderson, IN 46016 Phone: 765-683-3118 |
Bethel L Mckenzie, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2210 Jackson St, Anderson, IN 46016 Phone: 765-683-3118 |
Susan A Lapierre, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2020 Brown St, Anderson, IN 46016 Phone: 765-649-8161 Fax: 317-674-0059 |
Joanne P Dean, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2020 Brown St, Anderson, IN 46016 Phone: 765-649-8161 Fax: 317-674-0059 |
Kaitlyn Dalton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4038 Ridgeview Dr, Anderson, IN 46013 Phone: 317-574-1254 Fax: 317-674-0060 |
Kyree C Nelson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2020 Brown St, Anderson, IN 46016 Phone: 317-574-1254 Fax: 317-674-0060 |
Kristy Hadfield, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2020 Brown St, Anderson, IN 46016 Phone: 317-574-1254 |