Georgia S Jackson, MED, CCC-SLP in Tifton, GA - Medicare Speech-Language Pathologist Provider

Georgia S Jackson, MED, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Tifton, Georgia. Her current practice location is 1488 Old Ocilla Rd, Tifton, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 386-5200.

Georgia S Jackson is licensed to practice in Georgia (license number SLP003934) 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 1649530593.

Contact Information

	Georgia S Jackson, MED, CCC-SLP
	1488 Old Ocilla Rd, Tifton, GA 31794-4152
	(229) 386-5200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Georgia S Jackson
Gender	Female
Speciality	Speech-language Pathologist
Location	1488 Old Ocilla Rd, Tifton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649530593
Provider Enumeration Date: 05/25/2012
Last Update Date: 05/25/2012

Medicare PECOS Information:

PECOS PAC ID: 8325452477
Enrollment ID: I20210201000836

Medical Identifiers

Medical identifiers for Georgia S Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649530593	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SLP003934 (Georgia)	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. Georgia S Jackson allows following entities to bill medicare on her behalf.

Provider Name	Golden Speech Therapy, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073041919 PECOS PAC ID: 3072926484 Enrollment ID: O20210104000736

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. Georgia S 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
Georgia S Jackson, MED, CCC-SLP 1488 Old Ocilla Rd, Tifton, GA 31794-4152 Ph: (229) 386-5200	Georgia S Jackson, MED, CCC-SLP 1488 Old Ocilla Rd, Tifton, GA 31794-4152 Ph: (229) 386-5200

Reviews and Comments

Speech-Language Pathologist in Tifton, GA

Mackenzie Cross, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 405 Love Ave, Tifton, GA 31794 Phone: 229-402-7188
Rhonda Jordan, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1641 Madison Ave, Tifton, GA 31794 Phone: 229-353-6188 Fax: 229-353-7722
Tift Regional Health System Inc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2227 Us Highway 41 N, Tifton, GA 31794 Phone: 229-353-6188 Fax: 229-353-6309
Shannon K Mcdaniel, MED CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1488 Old Ocilla Rd, Tifton, GA 31794 Phone: 229-386-5200
Amy W Marshall, M.ED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1488 Old Ocilla Rd, Tifton, GA 31794 Phone: 229-386-5200
Kimberly Dawn Wilson, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1488 Old Ocilla Rd, Tifton, GA 31794 Phone: 229-386-5200 Fax: 229-386-1412
Amy R Thomas, MED CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1641 Madison Ave, Tifton, GA 31794 Phone: 229-353-6188

Georgia S Jackson, MED, CCC-SLP - Medicare Speech-Language Pathologist in Tifton, GA