Connie Jackson, - Medicare Counselor in Kingsland, TX

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Connie Jackson, is a medicare enrolled "Counselor - Professional" provider in Kingsland, Texas. Her current practice location is 1410 Ranch Road 2900 Ste 303, Kingsland, Texas. You can reach out to her office (for appointments etc.) via phone at (830) 499-3744.

Connie Jackson is licensed to practice in Texas (license number 74377) 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 1265973812.

Contact Information

Connie Jackson,
1410 Ranch Road 2900 Ste 303,
Kingsland, TX 78639-5853
(830) 499-3744
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameConnie Jackson
GenderFemale
SpecialityCounselor - Professional
Location1410 Ranch Road 2900 Ste 303, Kingsland, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265973812
  • Provider Enumeration Date: 03/15/2017
  • Last Update Date: 10/02/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3375086523
  • Enrollment ID: I20240617002574

Medical Identifiers

Medical identifiers for Connie Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265973812NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 74377 (Texas)Primary
101YA0400XCounselor - Addiction (substance Use Disorder) 13344 (Texas)Secondary

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. Connie 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 AddressPractice Location Address
Connie Jackson,
1203 Ford St,
Llano, TX 78643-2611

Ph: () -		Connie Jackson,
1410 Ranch Road 2900 Ste 303,
Kingsland, TX 78639-5853

Ph: (830) 499-3744

Reviews and Comments


Counselor in Kingsland, TX

Christina Susan Deloach, MED, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1615 Sioux Trl, Kingsland, TX 78639
Phone: 254-630-6169    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.