Dr Crystal A Jackson, PHD, LLP in Detroit, MI - Medicare Psychologist Provider

Dr Crystal A Jackson, PHD, LLP is a medicare enrolled "Psychologist - Counseling" provider in Detroit, Michigan. Her current practice location is 3011 W Grand Blvd Ste 413, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 257-2295.

Dr Crystal A Jackson is licensed to practice in Michigan (license number 6301013473) 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 1255595948.

Contact Information

	Dr Crystal A Jackson, PHD, LLP
	3011 W Grand Blvd Ste 413, Detroit, MI 48202-3011
	(586) 257-2295
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Crystal A Jackson
Gender	Female
Speciality	Psychologist - Counseling
Location	3011 W Grand Blvd Ste 413, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255595948
Provider Enumeration Date: 07/11/2008
Last Update Date: 10/13/2020

Medicare PECOS Information:

PECOS PAC ID: 6608296538
Enrollment ID: I20201118002352

Medical Identifiers

Medical identifiers for Dr Crystal A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255595948	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	6301013473 (Michigan)	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. Dr Crystal A Jackson allows following entities to bill medicare on her behalf.

Entity Name	Crystal A. Jackson, Ph.d., Llp, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073124772 PECOS PAC ID: 5799105623 Enrollment ID: O20201015000779

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. Dr Crystal A 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
Dr Crystal A Jackson, PHD, LLP 212 Woodview Ct, Rochester Hills, MI 48307-4112 Ph: (586) 943-0563	Dr Crystal A Jackson, PHD, LLP 3011 W Grand Blvd Ste 413, Detroit, MI 48202-3011 Ph: (586) 257-2295

Reviews and Comments

Psychologist in Detroit, MI

Michelle Theresa Jesse, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-5243
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Dr. Brittney Devine Walsh, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 17421 Telegraph Rd, Detroit, MI 48219 Phone: 313-255-0900 Fax: 313-255-3465
Xiyu Cao, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4160 Woodward Ave Fl 2, Detroit, MI 48201 Phone: 313-656-4052

Dr Crystal A Jackson, PHD, LLP - Medicare Psychologist in Detroit, MI