Natasha V Jackson, is a medicare enrolled "Counselor - Mental Health" provider in Jackson, Mississippi. Her current practice location is
180 Sheppard Rd Ste 115, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 813-6141.
Natasha V Jackson is licensed to practice in Mississippi (license number C8125) 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 1952641805.
Healthcare Provider's Profile
Full Name | Natasha V Jackson |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 180 Sheppard Rd Ste 115, Jackson, Mississippi |
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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: 1952641805
- Provider Enumeration Date: 02/28/2013
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 7416201983
- Enrollment ID: I20190829000753
Medical Identifiers
Medical identifiers for Natasha V Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952641805 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | C8125 (Mississippi) | Secondary |
101YM0800X | Counselor - Mental Health | C8125 (Mississippi) | 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. Natasha V 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 |
Natasha V Jackson, 455 Crossgates Blvd Apt 226, Brandon, MS 39042-2560 Ph: (601) 813-6141 | Natasha V Jackson, 180 Sheppard Rd Ste 115, Jackson, MS 39206-4033 Ph: (601) 813-6141 |
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