Mrs Tina Louise Jackson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Wartburg, Tennessee. She went to East Tennessee State University Quillen College Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Morgan County Health Council Inc, Morgan County Health Council Inc and her current practice location is
224 Old Mill Rd, Wartburg, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 346-6221.
Mrs Tina Louise Jackson is licensed to practice in Tennessee (license number 61207) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801015821.
Physician's Profile
| Full Name | Mrs Tina Louise Jackson |
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| Gender | Female |
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| Speciality | Psychiatry |
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| Experience | 10 Years |
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| Location | 224 Old Mill Rd, Wartburg, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Tina Louise Jackson attended and graduated from East Tennessee State University Quillen College Of Medicine in 2016
NPI Data:
- NPI Number: 1801015821
- Provider Enumeration Date: 04/25/2007
- Last Update Date: 05/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 3476648064
- Enrollment ID: I20190531001188
Medical Identifiers
Medical identifiers for Mrs Tina Louise Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801015821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 61207 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Morgan County Health Council Inc | 6800865908 | 9 |
| Morgan County Health Council Inc | 6800865908 | 9 |
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. Mrs Tina Louise 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 |
|---|
Mrs Tina Louise Jackson, MD
240 W Tyrone Rd Rm 714,
Oak Ridge, TN 37830-6517
Ph: (865) 482-1076 | Mrs Tina Louise Jackson, MD
224 Old Mill Rd,
Wartburg, TN 37887-4163
Ph: (423) 346-6221 |
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