Dr Jacob Jerry Jackson, PHD, LMHC, CADC in Le Mars, IA

Dr Jacob Jerry Jackson, PHD, LMHC, CADC is a medicare enrolled "Counselor - Mental Health" provider in Le Mars, Iowa. His current practice location is 180 10th St Se Ste 201, Le Mars, Iowa. You can reach out to his office (for appointments etc.) via phone at (712) 546-4624.

Dr Jacob Jerry Jackson is licensed to practice in * (Not Available) (license number ) 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 1003366329.

Contact Information

	Dr Jacob Jerry Jackson, PHD, LMHC, CADC
	180 10th St Se Ste 201, Le Mars, IA 51031-2557
	(712) 546-4624
	(712) 546-9395

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacob Jerry Jackson
Gender	Male
Speciality	Counselor - Mental Health
Location	180 10th St Se Ste 201, Le Mars, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003366329
Provider Enumeration Date: 10/11/2016
Last Update Date: 11/06/2023

Medicare PECOS Information:

PECOS PAC ID: 3072962893
Enrollment ID: I20231205003305

Medical Identifiers

Medical identifiers for Dr Jacob Jerry Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003366329	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	15081 (Iowa)	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Dr Jacob Jerry Jackson allows following entities to bill medicare on his behalf.

Entity Name	Plains Area Mental Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801867734 PECOS PAC ID: 5395649743 Enrollment ID: O20031126000289

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. Dr Jacob Jerry 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
Dr Jacob Jerry Jackson, PHD, LMHC, CADC 180 10th St Se, Le Mars, IA 51031-2559 Ph: (712) 499-0207	Dr Jacob Jerry Jackson, PHD, LMHC, CADC 180 10th St Se Ste 201, Le Mars, IA 51031-2557 Ph: (712) 546-4624

Reviews and Comments

Counselor in Le Mars, IA

Tracy May Delao, T-CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 10th St Se Ste 201, Le Mars, IA 51031 Phone: 712-546-4624 Fax: 712-546-9395
Ms. Kelley Dickey Cuddy, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 180 10th St Se Ste 201, Le Mars, IA 51031 Phone: 712-546-4624 Fax: 712-546-9395
Adrienne Towne, TLMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 1st St Nw, Le Mars, IA 51031 Phone: 712-222-1459 Fax: 712-222-1460
Joshua Van Zweden, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 Lincoln St Se, Le Mars, IA 51031 Phone: 712-546-7868 Fax: 712-546-7869
Leslie Ann Mohr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 10th St Se, Suite 201, Le Mars, IA 51031 Phone: 712-546-4624
Samantha Graham, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 180 10th St Se Ste 201, Le Mars, IA 51031 Phone: 712-546-4624

Dr Jacob Jerry Jackson, PHD, LMHC, CADC - Medicare Counselor in Le Mars, IA