Mr Brandon Scott Backus Jackson, is a
Peer Specialist based in Seattle, Washington. Mr Brandon Scott Backus Jackson is licensed to practice in Washington (license number ) and his current practice location is
515 3rd Ave, Seattle, Washington. He can be reached at his office (for appointments etc.) via phone at
(206) 464-1570.
NPI number for Mr Brandon Scott Backus Jackson is 1164952644 and his current mailing address is 515 3rd Ave, Seattle, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164952644.
Healthcare Provider's Profile
| Full Name | Mr Brandon Scott Backus Jackson |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 515 3rd Ave, Seattle, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164952644
- Provider Enumeration Date: 06/15/2017
- Last Update Date: 11/17/2025
Medical Identifiers
Medical identifiers for Mr Brandon Scott Backus Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164952644 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | CG61445547 (Washington) | Secondary |
| 175T00000X | Peer Specialist | (Washington) | Primary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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. Mr Brandon Scott Backus Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Brandon Scott Backus Jackson,
515 3rd Ave,
Seattle, WA 98104-2304
Ph: (206) 464-1570 | Mr Brandon Scott Backus Jackson,
515 3rd Ave,
Seattle, WA 98104-2304
Ph: (206) 464-1570 |
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