Jill Hackley, is a
Psychologist - Clinical based in Des Moines, Iowa. Jill Hackley is licensed to practice in Iowa (license number 001131) and her current practice location is
808 5th Ave, Des Moines, Iowa. She can be reached at her office (for appointments etc.) via phone at
(515) 244-2267.
NPI number for Jill Hackley is 1578647590 and her current mailing address is 808 5th Ave, Des Moines, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578647590.
Healthcare Provider's Profile
| Full Name | Jill Hackley |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 808 5th Ave, Des Moines, Iowa |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578647590
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 10/19/2015
Medical Identifiers
Medical identifiers for Jill Hackley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578647590 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 2003030542 (Missouri) | Secondary |
| 103TC0700X | Psychologist - Clinical | 001131 (Iowa) | 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. Jill Hackley 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 |
|---|
Jill Hackley,
808 5th Ave,
Des Moines, IA 50309-1307
Ph: () - | Jill Hackley,
808 5th Ave,
Des Moines, IA 50309-1307
Ph: (515) 244-2267 |
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