Dr Robert E Jackson, PHD in Kapolei, HI - Medicare Clinical Psychologist Provider

Dr Robert E Jackson, PHD is a medicare enrolled "Psychologist" provider in Kapolei, Hawaii. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Crossroads Behavioral Health, Inc and his current practice location is 91-1010 Shangrila St Ste 105, Kapolei, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 377-4300.

Dr Robert E Jackson is licensed to practice in Hawaii (license number PSY-809) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245219849.

Contact Information

	Dr Robert E Jackson, PHD
	91-1010 Shangrila St Ste 105, Kapolei, HI 96707-2176
	(808) 377-4300
	(808) 484-1129

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Robert E Jackson
Gender	Male
Speciality	Clinical Psychologist
Experience	25 Years
Location	91-1010 Shangrila St Ste 105, Kapolei, Hawaii
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Robert E Jackson graduated from medical school in 1999

NPI Data:

NPI Number: 1245219849
Provider Enumeration Date: 01/11/2006
Last Update Date: 03/13/2019

Medicare PECOS Information:

PECOS PAC ID: 7416196035
Enrollment ID: I20130611000834

Medical Identifiers

Medical identifiers for Dr Robert E Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245219849	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY-809 (Hawaii)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Crossroads Behavioral Health, Inc	5092040048	3

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 Robert E Jackson allows following entities to bill medicare on his behalf.

Entity Name	Crossroads Behavioral Health, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013414770 PECOS PAC ID: 5092040048 Enrollment ID: O20190712000402

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 Robert E 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 Robert E Jackson, PHD Po Box 701089, Kapolei, HI 96709-1089 Ph: (808) 377-4300	Dr Robert E Jackson, PHD 91-1010 Shangrila St Ste 105, Kapolei, HI 96707-2176 Ph: (808) 377-4300

Reviews and Comments

Psychologist in Kapolei, HI

Dr. Janna Marie Madeira, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 91-1010 Shangrila St Ste 105, Kapolei, HI 96707 Phone: 808-377-4300
Dr. Danielle Lynn Pagat, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Pmb 242, 590 Farrington Hwy Unit 210, Kapolei, HI 96707 Phone: 808-476-3336
Dr. Nada Rose Mangialetti, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 91-110 Hanua St, #208a, Kapolei, HI 96707 Phone: 808-682-5808 Fax: 808-682-5808
Mara H K Hoe, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 91-1010 Shangrila St Ste 500, Kapolei, HI 96707 Phone: 808-433-5422
Dr. Dennis Paul Itoga, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 550 Kunehi St Apt 205, Kapolei, HI 96707 Phone: 808-674-6641 Fax: 808-504-5442
Dr. Jana Diane Ortiz, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 550 Kunehi St Apt 206, Kapolei, HI 96707 Phone: 808-674-6641 Fax: 866-651-6882

Dr Robert E Jackson, PHD - Medicare Psychologist in Kapolei, HI