Mr Richard Jackson Jr, is a
Case Manager/care Coordinator based in Shreveport, Louisiana. Mr Richard Jackson Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is
1543 Grimmett Dr, Shreveport, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 626-5597.
NPI number for Mr Richard Jackson Jr is 1306323241 and his current mailing address is 1004 Van Buren Dr, Jonesboro, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306323241.
Healthcare Provider's Profile
Full Name | Mr Richard Jackson Jr |
---|
Gender | Male |
---|
Speciality | Case Manager/care Coordinator |
---|
Location | 1543 Grimmett Dr, Shreveport, Louisiana |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306323241
- Provider Enumeration Date: 07/24/2018
- Last Update Date: 10/01/2018
Medical Identifiers
Medical identifiers for Mr Richard Jackson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306323241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Mr Richard Jackson Jr 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 |
Mr Richard Jackson Jr, 1004 Van Buren Dr, Jonesboro, LA 71251-2222 Ph: (318) 480-9517 | Mr Richard Jackson Jr, 1543 Grimmett Dr, Shreveport, LA 71107-6505 Ph: (318) 626-5597 |
Reviews and Comments