Corby Ryan Jackson, in Dallas, TX - Medicare Counselor Provider

Corby Ryan Jackson, is a medicare enrolled "Counselor - Professional" provider in Dallas, Texas. His current practice location is 11300 N Central Expy Ste 400, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (844) 824-8775.

Corby Ryan Jackson is licensed to practice in Texas (license number 95036) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639530215.

Contact Information

	Corby Ryan Jackson,
	11300 N Central Expy Ste 400, Dallas, TX 75243-6712
	(844) 824-8775
	(281) 648-2200

Map and Direction

Healthcare Provider's Profile

Full Name	Corby Ryan Jackson
Gender	Male
Speciality	Counselor - Professional
Location	11300 N Central Expy Ste 400, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639530215
Provider Enumeration Date: 03/10/2016
Last Update Date: 09/10/2024

Medicare PECOS Information:

PECOS PAC ID: 5799136560
Enrollment ID: I20240105000559

Medical Identifiers

Medical identifiers for Corby Ryan Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639530215	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180.015589 (Illinois)	Secondary
101YP2500X	Counselor - Professional	95036 (Texas)	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. Corby Ryan Jackson allows following entities to bill medicare on his behalf.

Entity Name	Iatreia Mental Health Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144972860 PECOS PAC ID: 2062886179 Enrollment ID: O20230313000709

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. Corby Ryan 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
Corby Ryan Jackson, 1225 Richards St, Joliet, IL 60433-2745 Ph: (708) 768-2144	Corby Ryan Jackson, 11300 N Central Expy Ste 400, Dallas, TX 75243-6712 Ph: (844) 824-8775

Reviews and Comments

Counselor in Dallas, TX

Keisha L. Butler, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N Central Expy, Suite 400-8, Dallas, TX 75201 Phone: 214-298-7647 Fax: 469-227-4251
Mrs. Ashley Nicole Dye, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4600 Samuell Blvd, Dallas, TX 75228 Phone: 214-381-7181
Ms. Ana Cecilia Gutierrez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6220 Gaston Ave, Suite 501, Dallas, TX 75214 Phone: 972-904-7935 Fax: 972-838-1446
Mr. James Richard White, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8222 Douglas Ave, Suite 390, Dallas, TX 75225 Phone: 214-234-2400 Fax: 214-234-2401
Dr. Cathey Soutter, PHD, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17300 Preston Rd, Dallas, TX 75252 Phone: 972-733-6565
Antonio Gonzales, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8625 King George Dr, Suite 111, Dallas, TX 75235 Phone: 214-631-7002 Fax: 214-631-6698
William Keith Palmer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5701 Maple Ave, Ste. 100, Dallas, TX 75235 Phone: 214-351-6600 Fax: 214-351-5046

Corby Ryan Jackson, - Medicare Counselor in Dallas, TX