Jereny S Tackett, BA MHA is a
Case Manager/care Coordinator based in Pikeville, Kentucky. Jereny S Tackett is licensed to practice in Kentucky (license number ) and his current practice location is
7160 N Mayo Trl, Pikeville, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(606) 657-9988.
NPI number for Jereny S Tackett is 1184794125 and his current mailing address is 7160 N Mayo Trl, Pikeville, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184794125.
Healthcare Provider's Profile
Full Name | Jereny S Tackett |
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Gender | Male |
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Speciality | Case Manager/care Coordinator |
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Location | 7160 N Mayo Trl, Pikeville, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184794125
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 05/24/2023
Medical Identifiers
Medical identifiers for Jereny S Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184794125 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (Kentucky) | 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. Jereny S Tackett 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 |
Jereny S Tackett, BA MHA 7160 N Mayo Trl, Pikeville, KY 41501-3151 Ph: (606) 657-9988 | Jereny S Tackett, BA MHA 7160 N Mayo Trl, Pikeville, KY 41501-3151 Ph: (606) 657-9988 |
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