Evette R Jackson, is a
Case Manager/care Coordinator based in Cleveland Hts, Ohio. Evette R Jackson is licensed to practice in * (Not Available) (license number ) and her current practice location is
2490 Lee Blvd Ste 103, Cleveland Hts, Ohio. She can be reached at her office (for appointments etc.) via phone at
(216) 337-5597.
NPI number for Evette R Jackson is 1316432511 and her current mailing address is 2490 Lee Blvd Ste 103, Cleveland Hts, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316432511.
Healthcare Provider's Profile
| Full Name | Evette R Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 2490 Lee Blvd Ste 103, Cleveland Hts, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316432511
- Provider Enumeration Date: 06/29/2018
- Last Update Date: 07/23/2018
Medical Identifiers
Medical identifiers for Evette R Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316432511 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (Ohio) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (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. Evette R Jackson 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 |
|---|
Evette R Jackson,
2490 Lee Blvd Ste 103,
Cleveland Hts, OH 44118-1255
Ph: (216) 337-5597 | Evette R Jackson,
2490 Lee Blvd Ste 103,
Cleveland Hts, OH 44118
Ph: (216) 337-5597 |
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