Angela Maria Jackson, LPC in Ogden, UT - Medicare Counselor Provider

Angela Maria Jackson, LPC is a medicare enrolled "Counselor - Professional" provider in Ogden, Utah. Her current practice location is 3903 Harrison Blvd Ste 300, Ogden, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 387-5600.

Angela Maria Jackson is licensed to practice in Utah (license number 359140-6004) 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 1255352969.

Contact Information

	Angela Maria Jackson, LPC
	3903 Harrison Blvd Ste 300, Ogden, UT 84403-2362
	(801) 387-5600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Angela Maria Jackson
Gender	Female
Speciality	Counselor - Professional
Location	3903 Harrison Blvd Ste 300, Ogden, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255352969
Provider Enumeration Date: 07/21/2006
Last Update Date: 05/21/2019

Medicare PECOS Information:

PECOS PAC ID: 5193161495
Enrollment ID: I20240308002230

Medical Identifiers

Medical identifiers for Angela Maria Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255352969	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	359140-6004 (Utah)	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. Angela Maria Jackson allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. Angela Maria 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
Angela Maria Jackson, LPC Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 387-5600	Angela Maria Jackson, LPC 3903 Harrison Blvd Ste 300, Ogden, UT 84403-2362 Ph: (801) 387-5600

Reviews and Comments

Counselor in Ogden, UT

Mrs. Ginger Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 26th St, Ogden, UT 84401 Phone: 801-625-3700
Dixie Allen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 698 12th St, Ogden, UT 84404 Phone: 801-621-3466 Fax: 801-621-8811
Melissa B Valdez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 26th St, Ogden, UT 84401 Phone: 801-625-3648
Talia Brianna Howling-dunham, C.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3375 Harrison Blvd, Ogden, UT 84403 Phone: 801-621-3901 Fax: 801-621-3991
Elisabeth Constance Saucedo, Counselor Medicare: Medicare Enrolled Practice Location: 237 26th St, Ogden, UT 84401 Phone: 801-625-3700
Emily E Greenhill, AMFT, ACMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3375 Harrison Blvd, Ogden, UT 84403 Phone: 760-590-6194
Anthony Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 26th St, Ogden, UT 84401 Phone: 801-625-3700

Angela Maria Jackson, LPC - Medicare Counselor in Ogden, UT