Christopher Mazedjian Jackson, in Culver City, CA - Medicare Marriage & Family Therapist Provider

Christopher Mazedjian Jackson, is a medicare enrolled "Marriage & Family Therapist" provider in Culver City, California. His current practice location is 4760 Sepulveda Blvd, Culver City, California. You can reach out to his office (for appointments etc.) via phone at (310) 390-6612.

Christopher Mazedjian Jackson is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346543139.

Contact Information

	Christopher Mazedjian Jackson,
	4760 Sepulveda Blvd, Culver City, CA 90230-4820
	(310) 390-6612
	(310) 398-5690

Map and Direction

Healthcare Provider's Profile

Full Name	Christopher Mazedjian Jackson
Gender	Male
Speciality	Marriage & Family Therapist
Location	4760 Sepulveda Blvd, Culver City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346543139
Provider Enumeration Date: 12/16/2010
Last Update Date: 10/16/2014

Medicare PECOS Information:

PECOS PAC ID: 7214458900
Enrollment ID: I20250311001173

Medical Identifiers

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

Identifier	Type	State	Issuer
1346543139	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(* (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. Christopher Mazedjian Jackson allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230522002558

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. Christopher Mazedjian 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
Christopher Mazedjian Jackson, 4760 Sepulveda Blvd, Culver City, CA 90230-4820 Ph: (310) 390-6612	Christopher Mazedjian Jackson, 4760 Sepulveda Blvd, Culver City, CA 90230-4820 Ph: (310) 390-6612

Reviews and Comments

Marriage & Family Therapist in Culver City, CA

Andrew R Miller, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4760 Sepulveda Blvd, Culver City, CA 90230 Phone: 310-390-6612
Ellen Golding, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11133 Washington Blvd, Culver City, CA 90232 Phone: 310-895-2300
Kimberly Orozco, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4760 Sepulveda Blvd, Culver City, CA 90230 Phone: 310-390-6612
Lisa M Scott, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5601 W Slauson Ave Ste 192, Culver City, CA 90230 Phone: 424-331-9070
Ms. Yvonne Janette Co, LMFT 128802 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5731 W Slauson Ave Ste 220, Culver City, CA 90230 Phone: 888-851-5595 Fax: 888-231-5872
Gina O'leary Kirkland Polesetsky, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9696 Culver Blvd Ste 303, Culver City, CA 90232 Phone: 323-362-6468
Kathleen Liliana Martinez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4760 Sepulveda Blvd, Culver City, CA 90230 Phone: 310-390-6612 Fax: 310-398-5690

Christopher Mazedjian Jackson, - Medicare Couples Therapy in Culver City, CA