Dr Ruby J Jackson, DPC, LPC-S, NCC in Brandon, MS

Dr Ruby J Jackson, DPC, LPC-S, NCC is a medicare enrolled "Counselor - Professional" provider in Brandon, Mississippi. Her current practice location is 302 Azalea Ct, Brandon, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 201-4134.

Dr Ruby J Jackson is licensed to practice in Mississippi (license number 1306) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487162608.

Contact Information

	Dr Ruby J Jackson, DPC, LPC-S, NCC
	302 Azalea Ct, Brandon, MS 39047-7952
	(601) 201-4134
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ruby J Jackson
Gender	Female
Speciality	Counselor - Professional
Location	302 Azalea Ct, Brandon, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487162608
Provider Enumeration Date: 01/22/2018
Last Update Date: 01/22/2018

Medicare PECOS Information:

PECOS PAC ID: 4284164476
Enrollment ID: I20250203002440

Medical Identifiers

Medical identifiers for Dr Ruby J Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487162608	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	1306 (Mississippi)	Primary

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. Dr Ruby J Jackson allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221116002565

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. Dr Ruby J 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
Dr Ruby J Jackson, DPC, LPC-S, NCC 302 Azalea Ct, Brandon, MS 39047-7952 Ph: (601) 201-4134	Dr Ruby J Jackson, DPC, LPC-S, NCC 302 Azalea Ct, Brandon, MS 39047-7952 Ph: (601) 201-4134

Reviews and Comments

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Dr Ruby J Jackson, DPC, LPC-S, NCC - Medicare Counselor in Brandon, MS