Vicki Jackson, in Homer, AK - Medicare Counselor Provider

Vicki Jackson, is a medicare enrolled "Counselor - Mental Health" provider in Homer, Alaska. Her current practice location is 4136 Bartlett St, Homer, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 235-6127.

Vicki 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 1083076772.

Contact Information

	Vicki Jackson,
	4136 Bartlett St, Homer, AK 99603-7001
	(907) 235-6127
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Vicki Jackson
Gender	Female
Speciality	Counselor - Mental Health
Location	4136 Bartlett St, Homer, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083076772
Provider Enumeration Date: 03/22/2016
Last Update Date: 10/22/2021

Medicare PECOS Information:

PECOS PAC ID: 3577974872
Enrollment ID: I20201117002384

Medical Identifiers

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

Identifier	Type	State	Issuer
1083076772	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. Vicki Jackson allows following entities to bill medicare on her behalf.

Entity Name	Walla Walla Community Hospice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497759203 PECOS PAC ID: 4587732979 Enrollment ID: O20200909002447

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. Vicki 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
Vicki Jackson, 818 Smoky Bay Way # 140, Homer, AK 99603-7653 Ph: (509) 496-9116	Vicki Jackson, 4136 Bartlett St, Homer, AK 99603-7001 Ph: (907) 235-6127

Reviews and Comments

Counselor in Homer, AK

Theresa L Engebretsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1091 E End Rd, Homer, AK 99603 Phone: 907-450-1350
Jason D. Pretzel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 41495 Stellars Jay Dr, Homer, AK 99603 Phone: 907-885-1985
Janie Worley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 51310 Timber Bay Ct, Homer, AK 99603 Phone: 907-235-3251 Fax: 907-235-3251
Tommy Bowling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 51310 Timber Bay Ct, Homer, AK 99603 Phone: 907-235-3250 Fax: 907-235-3251
Erin Hull, LMT Counselor Medicare: Not Enrolled in Medicare Practice Location: 345 Sterling Hwy Ste 104, Homer, AK 99603 Phone: 907-235-7221
Ms. Bobbi Moore Cleary, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1585 Mission Road, Homer, AK 99603 Phone: 907-440-6405 Fax: 888-719-1194
Stewart Daffron, Counselor Medicare: Not Enrolled in Medicare Practice Location: 51310 Timber Bay Court, Homer, AK 99603 Phone: 907-235-4732

Vicki Jackson, - Medicare Counselor in Homer, AK