Mr Jacarri Deandrell Jackson, is a
Case Manager/care Coordinator based in Bossier City, Louisiana. Mr Jacarri Deandrell Jackson is licensed to practice in * (Not Available) (license number ) and his current practice location is
343 Gaston Ln, Bossier City, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 461-2256.
NPI number for Mr Jacarri Deandrell Jackson is 1154780880 and his current mailing address is 238 Wildwood St, Mansfield, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154780880.
Healthcare Provider's Profile
Full Name | Mr Jacarri Deandrell Jackson |
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Gender | Male |
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Speciality | Case Manager/care Coordinator |
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Location | 343 Gaston Ln, Bossier City, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154780880
- Provider Enumeration Date: 02/23/2016
- Last Update Date: 11/30/2020
Medical Identifiers
Medical identifiers for Mr Jacarri Deandrell Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154780880 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (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. Mr Jacarri Deandrell 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 |
Mr Jacarri Deandrell Jackson, 238 Wildwood St, Mansfield, LA 71052-6420 Ph: (318) 465-1790 | Mr Jacarri Deandrell Jackson, 343 Gaston Ln, Bossier City, LA 71112-4270 Ph: (318) 461-2256 |
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