Mary Jackson, LPC in Gilbert, AZ - Medicare Counselor Provider

Mary Jackson, LPC is a medicare enrolled "Counselor - Mental Health" provider in Gilbert, Arizona. Her current practice location is 1530 E Williams Field Rd Ste 201, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 561-6191.

Mary Jackson is licensed to practice in * (Not Available) (license number ) 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 1508358813.

Contact Information

	Mary Jackson, LPC
	1530 E Williams Field Rd Ste 201, Gilbert, AZ 85295-1825
	(480) 561-6191
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Jackson
Gender	Female
Speciality	Counselor - Mental Health
Location	1530 E Williams Field Rd Ste 201, Gilbert, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508358813
Provider Enumeration Date: 06/01/2018
Last Update Date: 04/29/2021

Medicare PECOS Information:

PECOS PAC ID: 1153857362
Enrollment ID: I20241211003319

Medical Identifiers

Medical identifiers for Mary Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508358813	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Mary Jackson allows following entities to bill medicare on her behalf.

Entity Name	Wellqor Psychological Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063920841 PECOS PAC ID: 1658633292 Enrollment ID: O20220324000180

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. Mary 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
Mary Jackson, LPC 1530 E Williams Field Rd Ste 201, Gilbert, AZ 85295-1825 Ph: (480) 561-6191	Mary Jackson, LPC 1530 E Williams Field Rd Ste 201, Gilbert, AZ 85295-1825 Ph: (480) 561-6191

Reviews and Comments

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Mary Jackson, LPC - Medicare Counselor in Gilbert, AZ