Mr Corey Jai Jackson, MA in Eugene, OR - Medicare Counselor Provider

Mr Corey Jai Jackson, MA is a medicare enrolled "Counselor - Professional" provider in Eugene, Oregon. His current practice location is 921 Country Club Rd Ste 222, Eugene, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 686-6000.

Mr Corey Jai Jackson is licensed to practice in * (Not Available) (license number ) 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 1194866707.

Contact Information

	Mr Corey Jai Jackson, MA
	921 Country Club Rd Ste 222, Eugene, OR 97401-2238
	(541) 686-6000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Corey Jai Jackson
Gender	Male
Speciality	Counselor - Professional
Location	921 Country Club Rd Ste 222, Eugene, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194866707
Provider Enumeration Date: 02/08/2007
Last Update Date: 05/25/2023

Medicare PECOS Information:

PECOS PAC ID: 6901247600
Enrollment ID: I20240513001953

Medical Identifiers

Medical identifiers for Mr Corey Jai Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194866707	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	C4737 (Oregon)	Secondary
101YP2500X	Counselor - Professional	(* (Not Available))	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. Mr Corey Jai Jackson allows following entities to bill medicare on his behalf.

Entity Name	Christians As Family Advocates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548474562 PECOS PAC ID: 5092949446 Enrollment ID: O20180222000295

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 Corey Jai 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
Mr Corey Jai Jackson, MA 921 Country Club Rd Ste 222, Eugene, OR 97401-2238 Ph: (541) 686-6000	Mr Corey Jai Jackson, MA 921 Country Club Rd Ste 222, Eugene, OR 97401-2238 Ph: (541) 686-6000

Reviews and Comments

Counselor in Eugene, OR

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Jennifer Karen Gerrard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 W 25th Ave, Eugene, OR 97405 Phone: 541-343-9706 Fax: 541-683-3748
Mr. Adam David Couch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3692 Hickory Ave, Eugene, OR 97401 Phone: 541-284-7800
Susan Elizabeth Pepper-reed, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1258 High St, Eugene, OR 97401 Phone: 541-342-8437 Fax: 541-242-2999

Mr Corey Jai Jackson, MA - Medicare Counselor in Eugene, OR