Crystal A. Jackson, Ph.d. , Llp, Llc - Medicare Mental Health Clinic in Detroit, MI

Crystal A. Jackson, Ph.d. , Llp, Llc is a medicare enrolled mental health clinic (Psychologist) in Detroit, Michigan. The current practice location for Crystal A. Jackson, Ph.d. , Llp, Llc is 3011 W Grand Blvd, Detroit, Michigan. For appointments, you can reach them via phone at (586) 943-0563. The mailing address for Crystal A. Jackson, Ph.d. , Llp, Llc is 3011 W Grand Blvd Ste 413, Detroit, Michigan and phone number is (586) 943-0563.

Crystal A. Jackson, Ph.d. , Llp, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073124772. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (586) 943-0563.

Contact Information

Crystal A. Jackson, Ph.d. , Llp, Llc
3011 W Grand Blvd
Detroit
MI 48202-3096
(586) 943-0563
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameCrystal A. Jackson, Ph.d. , Llp, Llc
SpecialityPsychologist
Location3011 W Grand Blvd, Detroit, Michigan
Authorized Official Name and PositionCrystal A Jackson (OWNER/PSYCHOLOGIST)
Authorized Official Contact5869430563
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Crystal A. Jackson, Ph.d. , Llp, Llc
3011 W Grand Blvd Ste 413
Detroit
MI 48202-3011

Ph: (586) 943-0563
Crystal A. Jackson, Ph.d. , Llp, Llc
3011 W Grand Blvd
Detroit
MI 48202-3096

Ph: (586) 943-0563

NPI Details:

NPI Number1073124772
Provider Enumeration Date08/14/2020
Last Update Date10/19/2020
Certification Date10/19/2020

Medicare PECOS Information:

Medicare PECOS PAC ID5799105623
Medicare Enrollment IDO20201015000779

Medical Identifiers

Medical identifiers for Crystal A. Jackson, Ph.d. , Llp, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073124772NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (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. Crystal A. Jackson, Ph.d. , Llp, Llc acts as a billing entity for following providers:
Provider NameCrystal A. Jackson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1255595948
PECOS PAC ID: 6608296538
Enrollment ID: I20201118002352

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.