Mycha I Jackson, LPC in Winnsboro, SC - Medicare Counselor Provider

Mycha I Jackson, LPC is a medicare enrolled "Counselor - Professional" provider in Winnsboro, South Carolina. Her current practice location is 4866 Greenbrier Mossydale Rd, Winnsboro, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 800-1701.

Mycha I Jackson is licensed to practice in South Carolina (license number 9508) 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 1649700329.

Contact Information

	Mycha I Jackson, LPC
	4866 Greenbrier Mossydale Rd, Winnsboro, SC 29180-6523
	(803) 800-1701
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mycha I Jackson
Gender	Female
Speciality	Counselor - Professional
Location	4866 Greenbrier Mossydale Rd, Winnsboro, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649700329
Provider Enumeration Date: 06/15/2017
Last Update Date: 10/10/2024

Medicare PECOS Information:

PECOS PAC ID: 3476087214
Enrollment ID: I20241115000688

Medical Identifiers

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

Identifier	Type	State	Issuer
1649700329	NPI	-	NPPES
3335	Other	SC	MEDICARE PIN
421504	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	9508 (South Carolina)	Primary
101YM0800X	Counselor - Mental Health	9508 (South Carolina)	Secondary

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. Mycha I Jackson allows following entities to bill medicare on her behalf.

Entity Name	Charleston Counseling Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316375678 PECOS PAC ID: 6204125107 Enrollment ID: O20160517000323

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. Mycha I 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
Mycha I Jackson, LPC 4866 Greenbrier Mossydale Rd, Winnsboro, SC 29180-6523 Ph: (803) 800-1701	Mycha I Jackson, LPC 4866 Greenbrier Mossydale Rd, Winnsboro, SC 29180-6523 Ph: (803) 800-1701

Reviews and Comments

Counselor in Winnsboro, SC

Carrie Coles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Calhoun St, Winnsboro, SC 29180 Phone: 803-635-2335
Renada Richardson, M.A., CACP-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Calhoun St, Winnsboro, SC 29180 Phone: 803-635-2335 Fax: 803-635-9665
Ms. Alana Rabb, Counselor Medicare: Not Enrolled in Medicare Practice Location: 178 Us Highway 321 Byp N, Winnsboro, SC 29180 Phone: 803-635-2335 Fax: 803-635-9695
Cheryl A. Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 W Moultrie St, Winnsboro, SC 29180 Phone: 803-712-1649
Ms. Sharon Marion Lovelace, Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 W Moultrie St, Winnsboro, SC 29180 Phone: 803-712-1649 Fax: 809-712-6960
Ms. Eliza A Boulware, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Calhoun St, Winnsboro, SC 29180 Phone: 803-635-2335 Fax: 803-635-9695
Tiera Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 178 Us Highway 321 Byp N, Winnsboro, SC 29180 Phone: 803-635-2335

Mycha I Jackson, LPC - Medicare Counselor in Winnsboro, SC