Jackalyn Leigh Davis, LPC in Jacksonville, AR

Jackalyn Leigh Davis, LPC is a medicare enrolled "Counselor - Professional" provider in Jacksonville, Arkansas. Her current practice location is 2126 N 1st St, Suite F, Jacksonville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 982-5000.

Jackalyn Leigh Davis is licensed to practice in Arkansas (license number P2203005) 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 1710237581.

Contact Information

	Jackalyn Leigh Davis, LPC
	2126 N 1st St, Suite F, Jacksonville, AR 72076-2868
	(501) 982-5000
	(501) 982-5007

Map and Direction

Healthcare Provider's Profile

Full Name	Jackalyn Leigh Davis
Gender	Female
Speciality	Counselor - Professional
Location	2126 N 1st St, Jacksonville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710237581
Provider Enumeration Date: 09/19/2012
Last Update Date: 03/23/2023

Medicare PECOS Information:

PECOS PAC ID: 6800244609
Enrollment ID: I20240212001166

Medical Identifiers

Medical identifiers for Jackalyn Leigh Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710237581	NPI	-	NPPES
193514795	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	A1708271 (Arkansas)	Secondary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	P2203005 (Arkansas)	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. Jackalyn Leigh Davis allows following entities to bill medicare on her behalf.

Entity Name	Families, Inc Of Arkansas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770535569 PECOS PAC ID: 9335133669 Enrollment ID: O20040412000211

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. Jackalyn Leigh Davis 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
Jackalyn Leigh Davis, LPC 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 Ph: (870) 933-6886	Jackalyn Leigh Davis, LPC 2126 N 1st St, Suite F, Jacksonville, AR 72076-2868 Ph: (501) 982-5000

Reviews and Comments

Counselor in Jacksonville, AR

Amanda Patrice Mills, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2126 N 1st St, Suite F, Jacksonville, AR 72076 Phone: 501-982-5000 Fax: 501-982-5007
Mrs. Tanya Nashel Miller, ADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1090 Arnold Dr, Jacksonville, AR 72099 Phone: 501-987-7338 Fax: 501-987-8087
J Dawson Williams, D.MIN., LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Fair Oaks Dr, Jacksonville, AR 72076 Phone: 501-837-9723 Fax: 877-775-2230
Rita Jean Masterson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2126 N 1st St Ste F, Jacksonville, AR 72076 Phone: 501-982-5000 Fax: 501-982-5007
Mrs. Rebecca Williams Jackson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2126 N. 1st Street Suite F, Jacksonville, AR 72076 Phone: 501-982-5000 Fax: 501-982-5007
Mrs. Joanna L. Berry, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 James Street, Jacksonville, AR 72076 Phone: 501-982-5000 Fax: 501-982-5007
Sheryl Jackson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2126 N 1st St, Suite F, Jacksonville, AR 72076 Phone: 501-982-5000 Fax: 501-982-5007

Jackalyn Leigh Davis, LPC - Medicare Counselor in Jacksonville, AR