Mrs Mahalia L Jackson-butler, in Arlington, TX

Mrs Mahalia L Jackson-butler, is a medicare enrolled "Nurse Practitioner - Adult Health" in Arlington, Texas. Her current practice location is 4621 S Cooper St Ste 131-717, Arlington, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 277-2243.

Mrs Mahalia L Jackson-butler is licensed to practice in Texas (license number 715590) 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 1063669893.

Contact Information

	Mrs Mahalia L Jackson-butler,
	4621 S Cooper St Ste 131-717, Arlington, TX 76017-5866
	(214) 277-2243
	(214) 231-2926

Map and Direction

Provider's Profile

Full Name	Mrs Mahalia L Jackson-butler
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	4621 S Cooper St Ste 131-717, Arlington, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063669893
Provider Enumeration Date: 08/22/2008
Last Update Date: 09/28/2020

Medicare PECOS Information:

PECOS PAC ID: 3375601339
Enrollment ID: I20090305000738

Medical Identifiers

Medical identifiers for Mrs Mahalia L Jackson-butler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063669893	NPI	-	NPPES
201844201	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	715590 (Texas)	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. Mrs Mahalia L Jackson-butler allows following entities to bill medicare on her behalf.

Entity Name	Segue Health Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215510763 PECOS PAC ID: 8921400953 Enrollment ID: O20210713001669

Entity Name	Total Md Physicians Group, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982031852 PECOS PAC ID: 7012313521 Enrollment ID: O20210909000354

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 Mahalia L Jackson-butler 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 Mahalia L Jackson-butler, 4621 S Cooper St Ste 131-717, Arlington, TX 76017-5866 Ph: (214) 277-2243	Mrs Mahalia L Jackson-butler, 4621 S Cooper St Ste 131-717, Arlington, TX 76017-5866 Ph: (214) 277-2243

Reviews and Comments

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Mrs Mahalia L Jackson-butler, - Medicare Nurse Practitioner in Arlington, TX