Mrs Staci Tate Jackson, SLP in Winston Salem, NC

Mrs Staci Tate Jackson, SLP is a Speech-language Pathologist based in Winston Salem, North Carolina. Mrs Staci Tate Jackson is licensed to practice in North Carolina (license number 6933) and her current practice location is 4917 Southwin Dr, Winston Salem, North Carolina. She can be reached at her office (for appointments etc.) via phone at (336) 287-2175.

NPI number for Mrs Staci Tate Jackson is 1316172778 and her current mailing address is 4917 Southwin Dr, Winston Salem, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316172778.

Contact Information

	Mrs Staci Tate Jackson, SLP
	4917 Southwin Dr, Winston Salem, NC 27104-4634
	(336) 287-2175
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Staci Tate Jackson
Gender	Female
Speciality	Speech-language Pathologist
Location	4917 Southwin Dr, Winston Salem, North Carolina
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1316172778
Provider Enumeration Date: 05/28/2009
Last Update Date: 10/21/2013

Medical Identifiers

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

Identifier	Type	State	Issuer
1316172778	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	6933 (North Carolina)	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 Staci Tate Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Staci Tate Jackson, SLP 4917 Southwin Dr, Winston Salem, NC 27104-4634 Ph: (336) 287-2175	Mrs Staci Tate Jackson, SLP 4917 Southwin Dr, Winston Salem, NC 27104-4634 Ph: (336) 287-2175

Reviews and Comments

Speech-Language Pathologist in Winston Salem, NC

Liza Brincefield Phillips, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 185 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-725-0222 Fax: 336-725-0454
Mallory Golden, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 185 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-725-0222 Fax: 336-725-0454
Janet Eaddy, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3505 Dunnbarton Dr, Winston Salem, NC 27107 Phone: 336-788-6088 Fax: 336-788-0953
Jayme Stuart, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Salemtowne Dr, Winston Salem, NC 27106 Phone: 336-776-2300
Ms. Jennifer Geib, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 185 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-725-0222
Mrs. J'mia Kae Wade, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2282 Providence Pt Ln Apt 203, Winston Salem, NC 27106 Phone: 336-817-9982
Susan Michelle Brown, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 185 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-725-0222 Fax: 336-725-0454

Mrs Staci Tate Jackson, SLP - Speech-Language Pathologist in Winston Salem, NC