Mary Jackson, LPC-22257 in Payson, AZ - Medicare Counselor Provider

Mary Jackson, LPC-22257 is a medicare enrolled "Counselor - Professional" provider in Payson, Arizona. Her current practice location is 404 W Aero Dr, Payson, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 474-3303.

Mary Jackson is licensed to practice in Arizona (license number LPC-22257) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881374684.

Contact Information

	Mary Jackson, LPC-22257
	404 W Aero Dr, Payson, AZ 85541-5407
	(928) 474-3303
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Jackson
Gender	Female
Speciality	Counselor - Professional
Location	404 W Aero Dr, Payson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881374684
Provider Enumeration Date: 07/18/2023
Last Update Date: 07/18/2023

Medicare PECOS Information:

PECOS PAC ID: 1456704006
Enrollment ID: I20240130002862

Medical Identifiers

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

Identifier	Type	State	Issuer
1881374684	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC-22257 (Arizona)	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. Mary Jackson allows following entities to bill medicare on her behalf.

Entity Name	Southwest Behavioral Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144384389 PECOS PAC ID: 9739075854 Enrollment ID: O20040225000948

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. Mary 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
Mary Jackson, LPC-22257 404 W Aero Dr, Payson, AZ 85541-5407 Ph: (928) 474-3303	Mary Jackson, LPC-22257 404 W Aero Dr, Payson, AZ 85541-5407 Ph: (928) 474-3303

Reviews and Comments

Counselor in Payson, AZ

Debra Shewey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 803 W Main St, Payson, AZ 85541 Phone: 928-284-8483
Ms. Lori Anne Martinez, MA, LPC, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 W Main St, Payson, AZ 85541 Phone: 928-970-1967
Mrs. Danielle Thomas Woods, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 W Main St, Payson, AZ 85541 Phone: 928-474-3311
Dr. Michael Vernon Mcentire Ii, DDS, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 418 N Briarwood Rd, Payson, AZ 85541 Phone: 480-825-8758
Mrs. Penny Navis-schmidt, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 700 W Main St, Payson, AZ 85541 Phone: 928-474-8628 Fax: 928-472-9432
Kori Newland, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 789 N Pinon Rd, Payson, AZ 85541 Phone: 928-278-3705
Lori Lynn Davenport, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 E Park Dr, Payson, AZ 85541 Phone: 928-970-1027

Mary Jackson, LPC-22257 - Medicare Counselor in Payson, AZ