Dr Melissa Jackson, PHD - Medicare Psychologist in Gloversville, NY

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Dr Melissa Jackson, PHD is a medicare enrolled "Psychologist - Counseling" provider in Gloversville, New York. Her current practice location is 29 W Fulton St Ste D, Gloversville, New York. You can reach out to her office (for appointments etc.) via phone at (518) 313-6105.

Dr Melissa Jackson is licensed to practice in New York (license number 018244) 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 1912106733.

Contact Information

Dr Melissa Jackson, PHD
29 W Fulton St Ste D,
Gloversville, NY 12078-2937
(518) 313-6105
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Melissa Jackson
GenderFemale
SpecialityPsychologist - Counseling
Location29 W Fulton St Ste D, Gloversville, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912106733
  • Provider Enumeration Date: 07/12/2007
  • Last Update Date: 04/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3476820432
  • Enrollment ID: I20170522002621

Medical Identifiers

Medical identifiers for Dr Melissa Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912106733NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling 018244 (New York)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 Melissa Jackson allows following entities to bill medicare on her behalf.
Entity NameJackson Psychological, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043072622
PECOS PAC ID: 1951832021
Enrollment ID: O20240930002781

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 Melissa 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 Melissa Jackson, PHD
29 W Fulton St Ste D,
Gloversville, NY 12078-2937

Ph: (518) 313-6105		Dr Melissa Jackson, PHD
29 W Fulton St Ste D,
Gloversville, NY 12078-2937

Ph: (518) 313-6105

Reviews and Comments


Psychologist in Gloversville, NY

Ms. Brooke M Vangenderen, MA
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 11-21 Broadway St, Gloversville, NY 12078
Phone: 518-725-4310    Fax: 518-725-2556
Mariela J Abreu,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 11 Broadway St, Gloversville, NY 12078
Phone: 518-725-4310    
Lisa Vertucci,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 11-21 Broadway St, Gloversville, NY 12078
Phone: 518-725-4310    Fax: 518-725-2556

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.

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