Mrs Kristen M Jackson, MA, CCC-SLP, L-KS is a medicare enrolled "Speech-language Pathologist" provider in Saint George, Kansas. Her current practice location is
114 Lockett Ln, Saint George, Kansas. You can reach out to her office (for appointments etc.) via phone at
(785) 494-8676.
Mrs Kristen M Jackson is licensed to practice in Kansas (license number 2043) 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 1174804678.
Healthcare Provider's Profile
Full Name | Mrs Kristen M Jackson |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 114 Lockett Ln, Saint George, Kansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174804678
- Provider Enumeration Date: 08/29/2011
- Last Update Date: 08/29/2011
Medicare PECOS Information:
- PECOS PAC ID: 0446653992
- Enrollment ID: I20210722000113
Medical Identifiers
Medical identifiers for Mrs Kristen M Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174804678 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 2043 (Kansas) | 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. Mrs Kristen M Jackson allows following entities to bill medicare on her behalf.
Provider Name | Minds Matter, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1679617955 PECOS PAC ID: 2466641816 Enrollment ID: O20151023002412 |
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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. Mrs Kristen M 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 |
Mrs Kristen M Jackson, MA, CCC-SLP, L-KS 114 Lockett Ln, Saint George, KS 66535-9618 Ph: (785) 494-8676 | Mrs Kristen M Jackson, MA, CCC-SLP, L-KS 114 Lockett Ln, Saint George, KS 66535-9618 Ph: (785) 494-8676 |
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