Dr Jackie Marie Nelson, PSYD in Lehi, UT - Medicare Psychologist Provider

Dr Jackie Marie Nelson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Lehi, Utah. Her current practice location is 2250 N Miller Campus Dr, Lehi, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 662-1000.

Dr Jackie Marie Nelson is licensed to practice in Utah (license number 11471209-2501) 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 1215552765.

Contact Information

	Dr Jackie Marie Nelson, PSYD
	2250 N Miller Campus Dr, Lehi, UT 84043-7233
	(801) 662-1000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jackie Marie Nelson
Gender	Female
Speciality	Psychologist - Clinical
Location	2250 N Miller Campus Dr, Lehi, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215552765
Provider Enumeration Date: 06/10/2020
Last Update Date: 12/14/2023

Medicare PECOS Information:

PECOS PAC ID: 3577931351
Enrollment ID: I20221129001578

Medical Identifiers

Medical identifiers for Dr Jackie Marie Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215552765	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	11471209-2501 (Utah)	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 Jackie Marie Nelson allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	University Of Utah Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118

Entity Name	University Of Utah Pediatric Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649631599 PECOS PAC ID: 3870886898 Enrollment ID: O20160727002309

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 Jackie Marie Nelson 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 Jackie Marie Nelson, PSYD 2250 N Miller Campus Dr, Lehi, UT 84043-7233 Ph: () -	Dr Jackie Marie Nelson, PSYD 2250 N Miller Campus Dr, Lehi, UT 84043-7233 Ph: (801) 662-1000

Reviews and Comments

Psychologist in Lehi, UT

Dr. Cameron Ronald John, LICENSED PSYCHOLOGIS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3375 W. Mayflower Way, Suite A, Lehi, UT 84043 Phone: 801-331-6775
Jared Moroni Casey, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 121 E State St Ste B, Lehi, UT 84043 Phone: 801-407-9998
Jennifer R Roberts, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2940 W Maple Loop Dr Ste 303e, Lehi, UT 84043 Phone: 801-641-1798
Dr. Rachel Elizabeth Lyon, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3300 N Running Creek Way, Bldg E, #100, Lehi, UT 84043 Phone: 801-380-7000
Aimee Noelle Tubbs, ED.S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1327 S 100 E Unit 3, Lehi, UT 84043 Phone: 801-310-1303
Dr. Suzanne Farnsworth Plowman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3300 Running Creek Way, Bldg E, Suite 105, Lehi, UT 84043 Phone: 801-669-8300

Dr Jackie Marie Nelson, PSYD - Medicare Psychologist in Lehi, UT