Elyce Jackson, in Eatontown, NJ - Medicare Counselor Provider

Elyce Jackson, is a medicare enrolled "Counselor - Mental Health" provider in Eatontown, New Jersey. Her current practice location is 10 Industrial Way, Eatontown, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 673-3183.

Elyce Jackson is licensed to practice in New Jersey (license number 37AC00303100) 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 1942708268.

Contact Information

	Elyce Jackson,
	10 Industrial Way, Eatontown, NJ 07724
	(732) 673-3183
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elyce Jackson
Gender	Female
Speciality	Counselor - Mental Health
Location	10 Industrial Way, Eatontown, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942708268
Provider Enumeration Date: 02/01/2018
Last Update Date: 03/10/2020

Medicare PECOS Information:

PECOS PAC ID: 9335588243
Enrollment ID: I20240411002108

Medical Identifiers

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

Identifier	Type	State	Issuer
1942708268	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	37AC00303100 (New Jersey)	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. Elyce Jackson allows following entities to bill medicare on her behalf.

Entity Name	Inner Clarity Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154886422 PECOS PAC ID: 8022442078 Enrollment ID: O20191227000570

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. Elyce 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
Elyce Jackson, 175 E Hawthorn Pkwy Ste 235, Vernon Hills, IL 60061-1454 Ph: (847) 868-3435	Elyce Jackson, 10 Industrial Way, Eatontown, NJ 07724 Ph: (732) 673-3183

Reviews and Comments

Counselor in Eatontown, NJ

Matthew Steven Behrens, CADC INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Corbett Way, Eatontown, NJ 07724 Phone: 732-380-7061
Marissa Greco, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 99 Corbett Way Ste 304, Eatontown, NJ 07724 Phone: 732-977-3954
Michael Adam D'urso, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Main St, Eatontown, NJ 07724 Phone: 800-605-0612
Nancy Jones, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Hope Road, Bld 3b, Eatontown, NJ 07724 Phone: 732-724-1234
Heather Koenigsfest, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Hope Rd, Building 3a, Eatontown, NJ 07724 Phone: 732-380-1575 Fax: 732-380-1578
Ms. Colleen Kjems, LCADC, CCS, NCAC1, I Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Hope Rd Ste 5b5a&4a, Eatontown, NJ 07724 Phone: 732-858-5432
Emmi Mccauley, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 613 Hope Rd, Eatontown, NJ 07724 Phone: 908-902-9041

Elyce Jackson, - Medicare Counselor in Eatontown, NJ