Corryn Helen Jackson, LPC in Dearborn, MI - Medicare Counselor Provider

Corryn Helen Jackson, LPC is a medicare enrolled "Counselor - Professional" provider in Dearborn, Michigan. Her current practice location is 19855 Outer Dr Ste 300, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 359-1977.

Corryn Helen Jackson is licensed to practice in Michigan (license number 6401016806) 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 1841802469.

Contact Information

	Corryn Helen Jackson, LPC
	19855 Outer Dr Ste 300, Dearborn, MI 48124-2022
	(313) 359-1977
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Corryn Helen Jackson
Gender	Female
Speciality	Counselor - Professional
Location	19855 Outer Dr Ste 300, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841802469
Provider Enumeration Date: 08/17/2020
Last Update Date: 11/14/2023

Medicare PECOS Information:

PECOS PAC ID: 2769831148
Enrollment ID: I20231211001788

Medical Identifiers

Medical identifiers for Corryn Helen Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841802469	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401016806 (Michigan)	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. Corryn Helen Jackson allows following entities to bill medicare on her behalf.

Entity Name	Kathryn Miller Phd Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467664813 PECOS PAC ID: 0042289274 Enrollment ID: O20040924001038

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. Corryn Helen 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
Corryn Helen Jackson, LPC 1270 Warner St, Ypsilanti, MI 48197-4658 Ph: (734) 678-3097	Corryn Helen Jackson, LPC 19855 Outer Dr Ste 300, Dearborn, MI 48124-2022 Ph: (313) 359-1977

Reviews and Comments

Counselor in Dearborn, MI

Rajah Ismail, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6450 Maple St, Dearborn, MI 48126 Phone: 313-216-2200 Fax: 313-584-3622
Mrs. Nneka Jean Owens, MA LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22190 Garrison St, Suite 204, Dearborn, MI 48124 Phone: 313-769-5705 Fax: 313-769-6008
Mr. John Hansen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5075 Argyle St, Dearborn, MI 48126 Phone: 313-909-9390
Mrs. Lisa Michelle Green, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064
Mr. Jeffrey Wallace Spier, M.A., L.L.P., CEAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 23400 Michigan Ave, Suite 702, Dearborn, MI 48124 Phone: 313-274-7010 Fax: 313-274-3010
Mr. Bryan Granger, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5500 Auto Club Dr Ste 350, Dearborn, MI 48126 Phone: 313-317-2000 Fax: 313-317-2090
Cherie Ann Stangis, LLP, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2941 S Gulley Rd, Dearborn, MI 48124 Phone: 313-278-3040

Corryn Helen Jackson, LPC - Medicare Counselor in Dearborn, MI