Christopher Thomas Rackley, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Jacksonville, Florida. His current practice location is
13241 Bartram Park Blvd Unit 1901, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 376-3800.
Christopher Thomas Rackley is licensed to practice in Florida (license number PY10506) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093939498.
Healthcare Provider's Profile
| Full Name | Christopher Thomas Rackley |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 13241 Bartram Park Blvd Unit 1901, Jacksonville, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093939498
- Provider Enumeration Date: 04/13/2007
- Last Update Date: 08/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 1557652401
- Enrollment ID: I20190806001101
Medical Identifiers
Medical identifiers for Christopher Thomas Rackley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093939498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PY10506 (Florida) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 017020 (New York) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY10506 (Florida) | 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. Christopher Thomas Rackley allows following entities to bill medicare on his behalf.
| Entity Name | Baptist Behavioral Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215906649
PECOS PAC ID: 7315166394
Enrollment ID: O20140924001767 |
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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. Christopher Thomas Rackley 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 |
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Christopher Thomas Rackley, PSYD
Po Box 748519,
Atlanta, GA 30374-8519
Ph: (904) 376-3800 | Christopher Thomas Rackley, PSYD
13241 Bartram Park Blvd Unit 1901,
Jacksonville, FL 32258-5228
Ph: (904) 376-3800 |
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