Eric Jackson Sr, is a
Community Health Worker based in Martinez, California. Eric Jackson Sr is licensed to practice in * (Not Available) (license number ) and his current practice location is
1320 Arnold Dr Ste 103, Martinez, California. He can be reached at his office (for appointments etc.) via phone at
(925) 957-7739.
NPI number for Eric Jackson Sr is 1215152152 and his current mailing address is 845 Pleasant Ave, Stockton, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215152152.
Healthcare Provider's Profile
| Full Name | Eric Jackson Sr |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
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| Location | 1320 Arnold Dr Ste 103, Martinez, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215152152
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 06/16/2023
Medical Identifiers
Medical identifiers for Eric Jackson Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215152152 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
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. Eric Jackson Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Eric Jackson Sr,
845 Pleasant Ave,
Stockton, CA 95205-4251
Ph: (209) 518-1055 | Eric Jackson Sr,
1320 Arnold Dr Ste 103,
Martinez, CA 94553-6537
Ph: (925) 957-7739 |
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