Carol E Jackson, is a
Peer Specialist based in Colville, Washington. Carol E Jackson is licensed to practice in Washington (license number CG61581853) and her current practice location is
165 E Hawthorne Ave, Colville, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 684-4597.
NPI number for Carol E Jackson is 1346097391 and her current mailing address is 165 E Hawthorne Ave, Colville, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346097391.
Healthcare Provider's Profile
Full Name | Carol E Jackson |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 165 E Hawthorne Ave, Colville, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346097391
- Provider Enumeration Date: 05/06/2024
- Last Update Date: 07/02/2024
Medical Identifiers
Medical identifiers for Carol E Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346097391 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
175T00000X | Peer Specialist | CG61581853 (Washington) | 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. Carol E 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 |
Carol E Jackson, 165 E Hawthorne Ave, Colville, WA 99114-2629 Ph: (509) 684-4597 | Carol E Jackson, 165 E Hawthorne Ave, Colville, WA 99114-2629 Ph: (509) 684-4597 |
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