Mysia Jackson, LCPC in Catonsville, MD - Medicare Counselor Provider

Mysia Jackson, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Catonsville, Maryland. Her current practice location is 632 Frederick Rd Ste 200, Catonsville, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 413-9874.

Mysia Jackson is licensed to practice in Maryland (license number LC11648) 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 1588224174.

Contact Information

	Mysia Jackson, LCPC
	632 Frederick Rd Ste 200, Catonsville, MD 21228-4696
	(443) 413-9874
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mysia Jackson
Gender	Female
Speciality	Counselor - Mental Health
Location	632 Frederick Rd Ste 200, Catonsville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588224174
Provider Enumeration Date: 06/17/2019
Last Update Date: 12/17/2021

Medicare PECOS Information:

PECOS PAC ID: 9234671207
Enrollment ID: I20240605002021

Medical Identifiers

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

Identifier	Type	State	Issuer
1588224174	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LGP8492 (Maryland)	Secondary
101YM0800X	Counselor - Mental Health	LC11648 (Maryland)	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. Mysia Jackson allows following entities to bill medicare on her behalf.

Entity Name	Holistic Psychohealth Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659900488 PECOS PAC ID: 8527408764 Enrollment ID: O20240503003121

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. Mysia 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
Mysia Jackson, LCPC 5275 N George Street Ext, Manchester, PA 17345-9400 Ph: (443) 413-9874	Mysia Jackson, LCPC 632 Frederick Rd Ste 200, Catonsville, MD 21228-4696 Ph: (443) 413-9874

Reviews and Comments

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Megan Branan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Rolling Rd, Catonsville, MD 21228 Phone: 410-788-0300
Lauren Hughes Fiocco, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5720 Executive Dr Ste 100-105, Catonsville, MD 21228 Phone: 410-780-5203

Mysia Jackson, LCPC - Medicare Counselor in Catonsville, MD