Christina Jackson, MS is a medicare enrolled "Psychologist - Counseling" provider in Parkersburg, West Virginia. Her current practice location is
4420 Rosemar Ctr Ste 201c, Parkersburg, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 220-0041.
Christina Jackson is licensed to practice in West Virginia (license number 1232) 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 1083825897.
Healthcare Provider's Profile
Full Name | Christina Jackson |
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Gender | Female |
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Speciality | Psychologist - Counseling |
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Location | 4420 Rosemar Ctr Ste 201c, Parkersburg, West Virginia |
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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: 1083825897
- Provider Enumeration Date: 05/24/2007
- Last Update Date: 10/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 2365801917
- Enrollment ID: I20230629003790
Medical Identifiers
Medical identifiers for Christina Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083825897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 2147 (West Virginia) | Secondary |
103TC1900X | Psychologist - Counseling | 1232 (West Virginia) | 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. Christina Jackson allows following entities to bill medicare on her behalf.
Entity Name | Sane Space Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164118642 PECOS PAC ID: 1456710003 Enrollment ID: O20230629003732 |
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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. Christina 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 |
Christina Jackson, MS 4420 Rosemar Ctr Ste 201c, Parkersburg, WV 26104-1255 Ph: (304) 220-0041 | Christina Jackson, MS 4420 Rosemar Ctr Ste 201c, Parkersburg, WV 26104-1255 Ph: (304) 220-0041 |
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