Miss Jan Meredith Jackson, MA in Pawtucket, RI

Miss Jan Meredith Jackson, MA is a medicare enrolled "Counselor - Mental Health" provider in Pawtucket, Rhode Island. Her current practice location is 160 Beechwood Ave, Pawtucket, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 667-6720.

Miss Jan Meredith 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 1790284792.

Contact Information

	Miss Jan Meredith Jackson, MA
	160 Beechwood Ave, Pawtucket, RI 02860-5402
	(401) 667-6720
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Jan Meredith Jackson
Gender	Female
Speciality	Counselor - Mental Health
Location	160 Beechwood Ave, Pawtucket, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790284792
Provider Enumeration Date: 02/05/2018
Last Update Date: 02/05/2018

Medicare PECOS Information:

PECOS PAC ID: 9739521907
Enrollment ID: I20240521000658

Medical Identifiers

Medical identifiers for Miss Jan Meredith Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790284792	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. Miss Jan Meredith Jackson allows following entities to bill medicare on her behalf.

Entity Name	Arrow Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053990655 PECOS PAC ID: 7618319872 Enrollment ID: O20240521000355

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. Miss Jan Meredith 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
Miss Jan Meredith Jackson, MA 249 Roosevelt Ave Unit 205, Pawtucket, RI 02860-2134 Ph: (401) 724-8400	Miss Jan Meredith Jackson, MA 160 Beechwood Ave, Pawtucket, RI 02860-5402 Ph: (401) 667-6720

Reviews and Comments

Counselor in Pawtucket, RI

John Walker, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Beechwood Ave, Pawtucket, RI 02860 Phone: 401-722-5573
Trisha Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Bacon St, Pawtucket, RI 02860 Phone: 401-724-8400 Fax: 401-722-5280
Mr. James Gerard Gregory, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Lafayette St, Pawtucket, RI 02860 Phone: 401-771-7016
Ms. Jennifer M Pelkey, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 249 Roosevelt Ave, Pawtucket, RI 02860 Phone: 401-724-8400
Kelsey Francis, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Cottage St Apt 1, Pawtucket, RI 02860 Phone: 603-819-9004
John Echeverry, BACHELORS Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Beechwood Ave, Pawtucket, RI 02860 Phone: 401-722-5573 Fax: 401-724-9735
Catherine Fogarty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 N Union St, Pawtucket, RI 02860 Phone: 401-725-2520

Miss Jan Meredith Jackson, MA - Medicare Counselor in Pawtucket, RI