Holly Scott-jackson, is a
Student In An Organized Health Care Education/training Program based in Bellefontaine, Ohio. Holly Scott-jackson is licensed to practice in Ohio (license number C.2506595-TRNE) and her current practice location is
118 Maple Ave, Bellefontaine, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 376-8700.
NPI number for Holly Scott-jackson is 1356158349 and her current mailing address is 118 Maple Ave, Bellefontaine, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356158349.
Healthcare Provider's Profile
Full Name | Holly Scott-jackson |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 118 Maple Ave, Bellefontaine, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356158349
- Provider Enumeration Date: 12/13/2024
- Last Update Date: 04/01/2025
Medical Identifiers
Medical identifiers for Holly Scott-jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356158349 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDCIII.162756 (Ohio) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | C.2506595-TRNE (Ohio) | Primary |
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. Holly Scott-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 |
Holly Scott-jackson, 118 Maple Ave, Bellefontaine, OH 43311-1619 Ph: (937) 376-8700 | Holly Scott-jackson, 118 Maple Ave, Bellefontaine, OH 43311-1619 Ph: (937) 376-8700 |
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