| Mr Chad Jackson, | |
|
3225 1st Ave N, Billings, MT 59101-2104 | |
| (406) 794-8951 | |
| Not Available |
| Full Name | Mr Chad Jackson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 3225 1st Ave N, Billings, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316329667 | NPI | - | NPPES |
| 1316329667 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 11415 (Montana) | Primary |
| Entity Name | Silver Spark Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003650292 PECOS PAC ID: 8729526082 Enrollment ID: O20240816003879 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Chad Jackson, Po Box 22982, Billings, MT 59104-2982 Ph: (406) 794-8951 | Mr Chad Jackson, 3225 1st Ave N, Billings, MT 59101-2104 Ph: (406) 794-8951 |
Mrs. Jennipher Kay Doyle, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3286 Granger Ave E, #8, Billings, MT 59102 Phone: 406-534-1275 | |
Tara M. Rose, ACLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1724 Lampman Dr, Billings, MT 59102 Phone: 406-869-0777 | |
Mrs. Lital Diament, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 8270 Pond Rd, Billings, MT 59106 Phone: 406-697-6165 Fax: 805-552-4551 | |
Amie Laurayne Havner, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 Main St Ste B-c, Billings, MT 59105 Phone: 406-969-5183 Fax: 406-281-8308 | |
Katy Allyn Schwenneker, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 N 29th St Ste 206, Billings, MT 59101 Phone: 406-312-6067 | |
Mrs. Cassandra Jean Cates, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1231 N 29th St, Billings, MT 59101 Phone: 406-248-3175 | |
Sheryl M. Whiteman, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 208 N 29th St Ste 215, Billings, MT 59101 Phone: 406-998-7962 Fax: 406-998-7962 |