Brooke P Jackson, PSYD in Kentfield, CA - Medicare Clinical Psychologist Provider

Brooke P Jackson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Kentfield, California. She graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 1044 Sir Francis Drake Blvd, Suite 1, Kentfield, California. You can reach out to her office (for appointments etc.) via phone at (415) 609-2361.

Brooke P Jackson is licensed to practice in California (license number PSY 27339) 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 1962665067.

Contact Information

	Brooke P Jackson, PSYD
	1044 Sir Francis Drake Blvd, Suite 1, Kentfield, CA 94904-1449
	(415) 609-2361
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brooke P Jackson
Gender	Female
Speciality	Clinical Psychologist
Experience	12 Years
Location	1044 Sir Francis Drake Blvd, Kentfield, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brooke P Jackson graduated from medical school in 2013

NPI Data:

NPI Number: 1962665067
Provider Enumeration Date: 07/08/2008
Last Update Date: 08/11/2015

Medicare PECOS Information:

PECOS PAC ID: 0244540458
Enrollment ID: I20151029002906

Medical Identifiers

Medical identifiers for Brooke P Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962665067	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY 27339 (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. Brooke P Jackson allows following entities to bill medicare on her behalf.

Entity Name	Brooke P Jackson Psychologist
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144838913 PECOS PAC ID: 6002232196 Enrollment ID: O20200819004146

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. Brooke P 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
Brooke P Jackson, PSYD 1044 Sir Francis Drake Blvd, Suite 1, Kentfield, CA 94904-1449 Ph: (415) 609-2361	Brooke P Jackson, PSYD 1044 Sir Francis Drake Blvd, Suite 1, Kentfield, CA 94904-1449 Ph: (415) 609-2361

Reviews and Comments

Psychologist in Kentfield, CA

Dr. Myra Gueco Bernecker, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1036 Sir Francis Drake Blvd Ste 204, Kentfield, CA 94904 Phone: 415-354-4241
Starr Kelton-locke, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1030 Sir Francis Drake Blvd, Ste. 100, Kentfield, CA 94904 Phone: 415-453-2782 Fax: 415-457-9932
Dr. Barbara Mccarroll, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 905 Sir Francis Drake Blvd, Suite F, Kentfield, CA 94904 Phone: 415-457-3392
Dr. Joan Driscoll, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1036 Sir Francis Drake Blvd, Suite 200, Kentfield, CA 94904 Phone: 415-453-6993
Boyka Dimitrova, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1030 Sir Francis Drake Blvd Ste 120, Kentfield, CA 94904 Phone: 415-668-5955
Tracy Brooke Ryaru, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1044 Sir Francis Drake Blvd Ste 4, Kentfield, CA 94904 Phone: 415-721-3344
Dr. Sheryl B. Hausman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1030 Sir Francis Drake Blvd, Suite 120, Kentfield, CA 94904 Phone: 415-924-8940 Fax: 415-924-4456

Brooke P Jackson, PSYD - Medicare Psychologist in Kentfield, CA