Christine Diane Jackson, OT in Roseville, CA - Medicare Occupational Therapist Provider

Christine Diane Jackson, OT is a medicare enrolled "Occupational Therapist" provider in Roseville, California. Her current practice location is 1600 Eureka Rd, Roseville, California. You can reach out to her office (for appointments etc.) via phone at (916) 784-5078.

Christine Diane Jackson is licensed to practice in California (license number OT4190) 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 1538220884.

Contact Information

	Christine Diane Jackson, OT
	1600 Eureka Rd, Roseville, CA 95661-3027
	(916) 784-5078
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Christine Diane Jackson
Gender	Female
Speciality	Occupational Therapist
Location	1600 Eureka Rd, Roseville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538220884
Provider Enumeration Date: 12/12/2006
Last Update Date: 12/30/2021

Medicare PECOS Information:

PECOS PAC ID: 7719139310
Enrollment ID: I20121205000492

Medical Identifiers

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

Identifier	Type	State	Issuer
1538220884	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT4190 (California)	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. Christine Diane Jackson allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Christine Diane 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
Christine Diane Jackson, OT 1600 Eureka Rd, Roseville, CA 95661-3027 Ph: (916) 784-5078	Christine Diane Jackson, OT 1600 Eureka Rd, Roseville, CA 95661-3027 Ph: (916) 784-5078

Reviews and Comments

Occupational Therapist in Roseville, CA

Tessa Tsai, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 151 N Sunrise Ave Ste 1105, Roseville, CA 95661 Phone: 916-771-8255 Fax: 916-771-8211
Brittany Harlan, MS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 151 N Sunrise Ave Ste 1105, Roseville, CA 95661 Phone: 916-771-8255 Fax: 916-771-8211
Elisa Kim Kwon, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10001 Woodcreek Oaks Blvd, #1311, Roseville, CA 95747 Phone: 916-749-4432
Jill Davidson Mason, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 151 N Sunrise Ave Ste 1105, Roseville, CA 95661 Phone: 916-771-8255 Fax: 916-771-8211
Frieda L Gutierrez, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 Pleasant Grove Blvd, Roseville, CA 95747 Phone: 916-566-5758
Valerie Haskins, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 151 N Sunrise Ave, Suite 1105, Roseville, CA 95661 Phone: 916-771-8255
Anna G Lee, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr Ste 100, Roseville, CA 95661 Phone: 916-797-4734

Christine Diane Jackson, OT - Medicare Occupational Therapist in Roseville, CA