Dr Kristen B Jackson, PHD - Medicare Psychologist in Columbus, OH

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Dr Kristen B Jackson, PHD is a medicare enrolled "Psychologist - Rehabilitation" provider in Columbus, Ohio. She graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Osu Physical Medicine And Rehabilitation Llc, Osu General Internal Medicine Llc and her current practice location is 480 Medical Center Dr, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 293-3830.

Dr Kristen B Jackson is licensed to practice in Ohio (license number P.6988) 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 1164760500.

Contact Information

Dr Kristen B Jackson, PHD
480 Medical Center Dr,
Columbus, OH 43210-1229
(614) 293-3830
(614) 293-4870

Map and Direction




Healthcare Provider's Profile

Full NameDr Kristen B Jackson
GenderFemale
SpecialityClinical Psychologist
Experience15 Years
Location480 Medical Center Dr, Columbus, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kristen B Jackson graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1164760500
  • Provider Enumeration Date: 01/18/2013
  • Last Update Date: 08/05/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4082851589
  • Enrollment ID: I20130430000307

Medical Identifiers

Medical identifiers for Dr Kristen B Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164760500NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TR0400XPsychologist - Rehabilitation P.6988 (Ohio)Primary
103T00000XPsychologist P.6988 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ohio State University HospitalsColumbus, OHHospital
James Cancer Hospital & Solove Research InstituteColumbus, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osu Physical Medicine And Rehabilitation Llc701296064435
Osu General Internal Medicine Llc7517103955270

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 Kristen B Jackson allows following entities to bill medicare on her behalf.
Entity NameOSU Physical Medicine and Rehabilitation, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003029455
PECOS PAC ID: 7012960644
Enrollment ID: O20050223000817
Entity NameOSU General Internal Medicine LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689919599
PECOS PAC ID: 7517103955
Enrollment ID: O20130409000603

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 Kristen B 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 AddressPractice Location Address
Dr Kristen B Jackson, PHD
700 Ackerman Rd Ste 2120,
Columbus, OH 43202-1559

Ph: (614) 293-3830		Dr Kristen B Jackson, PHD
480 Medical Center Dr,
Columbus, OH 43210-1229

Ph: (614) 293-3830

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.