Christina Jackson, MS is a medicare enrolled "Psychologist - Counseling" provider in Parkersburg, West Virginia. She graduated from healthcare school in 2012 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Sane Space Pllc and her current practice location is
4420 Rosemar Ctr Ste 201c, Parkersburg, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 220-0041.
Christina Jackson is licensed to practice in West Virginia (license number 1232) 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 1083825897.
Healthcare Provider's Profile
| Full Name | Christina Jackson |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 14 Years |
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| Location | 4420 Rosemar Ctr Ste 201c, Parkersburg, West Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Christina Jackson graduated from medical school in 2012
NPI Data:
- NPI Number: 1083825897
- Provider Enumeration Date: 05/24/2007
- Last Update Date: 10/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 2365801917
- Enrollment ID: I20230629003790
Medical Identifiers
Medical identifiers for Christina Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083825897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 2147 (West Virginia) | Secondary |
| 103TC1900X | Psychologist - Counseling | 1232 (West Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sane Space Pllc | 1456710003 | 3 |
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. Christina Jackson allows following entities to bill medicare on her behalf.
| Entity Name | Sane Space Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164118642
PECOS PAC ID: 1456710003
Enrollment ID: O20230629003732 |
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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. Christina 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 |
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Christina Jackson, MS
4420 Rosemar Ctr Ste 201c,
Parkersburg, WV 26104-1255
Ph: (304) 220-0041 | Christina Jackson, MS
4420 Rosemar Ctr Ste 201c,
Parkersburg, WV 26104-1255
Ph: (304) 220-0041 |
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