Jerrold Jackson, in Tukwila, WA - Medicare Counselor Provider

Jerrold Jackson, is a medicare enrolled "Counselor - Mental Health" provider in Tukwila, Washington. His current practice location is 10216 Beacon Ave S, Tukwila, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 761-9469.

Jerrold Jackson is licensed to practice in Washington (license number LH61262872) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598021081.

Contact Information

	Jerrold Jackson,
	10216 Beacon Ave S, Tukwila, WA 98178-2039
	(425) 761-9469
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jerrold Jackson
Gender	Male
Speciality	Counselor - Mental Health
Location	10216 Beacon Ave S, Tukwila, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598021081
Provider Enumeration Date: 04/09/2012
Last Update Date: 09/30/2024

Medicare PECOS Information:

PECOS PAC ID: 6002349479
Enrollment ID: I20241024002090

Medical Identifiers

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

Identifier	Type	State	Issuer
1598021081	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	LH61262872 (Washington)	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. Jerrold Jackson allows following entities to bill medicare on his behalf.

Entity Name	Renton Counseling Center Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144735911 PECOS PAC ID: 6901340298 Enrollment ID: O20240627001703

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. Jerrold 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
Jerrold Jackson, 10216 Beacon Ave S, Tukwila, WA 98178-2039 Ph: () -	Jerrold Jackson, 10216 Beacon Ave S, Tukwila, WA 98178-2039 Ph: (425) 761-9469

Reviews and Comments

Counselor in Tukwila, WA

Sonja Kelsay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6100 Southcenter Blvd, Sound Mental Health, Tukwila, WA 98188 Phone: 206-444-7800
Brandon Leviton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6100 Southcenter Blvd, Tukwila, WA 98188 Phone: 206-444-7800 Fax: 206-444-7810
Sierra Wollen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6400 Southcenter Blvd, Tukwila, WA 98188 Phone: 206-444-3600 Fax: 206-444-3610
Allison Steinberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3438 S 148th St, Tukwila, WA 98168 Phone: 206-948-0096
Alexandra Dean, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6400 Southcenter Blvd, Tukwila, WA 98188 Phone: 206-901-2000
Katherine Aileen Crow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13925 Interurban Ave S Ste 120, Tukwila, WA 98168 Phone: 206-948-0096
Abigail Lindsay, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 13955 Interurban Ave S Ste 120, Tukwila, WA 98168 Phone: 206-948-0096

Jerrold Jackson, - Medicare Counselor in Tukwila, WA