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: I20240226003885
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 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. Natasha V Jackson allows following entities to bill medicare on her behalf.
Entity Name | Newstart Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588072698 PECOS PAC ID: 8628299799 Enrollment ID: O20141015001437 |
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Entity Name | Mindful Lemon Marriage And Family Therapy Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487324463 PECOS PAC ID: 8921499096 Enrollment ID: O20211228000411 |
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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. 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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