Mrs Lakeisha Jackson, in Woodstock, GA - Medicare Speech-Language Pathologist Provider

Mrs Lakeisha Jackson, is a medicare enrolled "Speech-language Pathologist" provider in Woodstock, Georgia. Her current practice location is 225 Creekstone Rdg Ste 25, Woodstock, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 939-5976.

Mrs Lakeisha Jackson is licensed to practice in Georgia (license number SLP006166) 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 1962874099.

Contact Information

	Mrs Lakeisha Jackson,
	225 Creekstone Rdg Ste 25, Woodstock, GA 30188-3744
	(404) 939-5976
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Lakeisha Jackson
Gender	Female
Speciality	Speech-language Pathologist
Location	225 Creekstone Rdg Ste 25, Woodstock, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962874099
Provider Enumeration Date: 10/28/2015
Last Update Date: 10/24/2023

Medicare PECOS Information:

PECOS PAC ID: 4082089024
Enrollment ID: I20230405002482

Medical Identifiers

Medical identifiers for Mrs Lakeisha Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962874099	NPI	-	NPPES
003219302A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SLP006166 (Georgia)	Primary

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 Lakeisha 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 Lakeisha Jackson, 744 Noah Dr Ste 113-374, Jasper, GA 30143-8705 Ph: (404) 939-5976	Mrs Lakeisha Jackson, 225 Creekstone Rdg Ste 25, Woodstock, GA 30188-3744 Ph: (404) 939-5976

Reviews and Comments

Speech-Language Pathologist in Woodstock, GA

Ogechi-ada Ebbis, MS, CCC- Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6478 Putnam Ford Dr, Suite 116, Woodstock, GA 30189 Phone: 678-494-8045 Fax: 678-494-8047
Comprehensive Communication And Swallowing Services Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1714 Dudley Dr, Woodstock, GA 30188 Phone: 833-575-2277
Thomas Speech-language Therapy, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1737 Grand Oaks Dr, Woodstock, GA 30188 Phone: 404-402-2457
Elizabeth Draggoo, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2001 Professional Pkwy, Woodstock, GA 30188 Phone: 844-543-8437
Allison Goode, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 112 Mirramont Lake Dr, Woodstock, GA 30189 Phone: 404-509-7686
Shannon D Bragg Ma Ccc-slp Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1551 Pine Creek Way, Woodstock, GA 30188 Phone: 770-871-6338
Stephanie Lee Reeves, M.ED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 424 Creekstone Rdg, Woodstock, GA 30188 Phone: 678-462-1342 Fax: 678-493-9464

Mrs Lakeisha Jackson, - Medicare Speech-Language Pathologist in Woodstock, GA