Quinton Jackson, is a
Case Manager/care Coordinator based in Monroe, Louisiana. Quinton Jackson is licensed to practice in * (Not Available) (license number ) and his current practice location is
4951 Central Ave, Monroe, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 340-1535.
NPI number for Quinton Jackson is 1275998536 and his current mailing address is 850 Kaliste Saloom Rd Ste 117, Lafayette, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275998536.
Healthcare Provider's Profile
Full Name | Quinton Jackson |
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Gender | Male |
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Speciality | Case Manager/care Coordinator |
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Location | 4951 Central Ave, Monroe, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275998536
- Provider Enumeration Date: 12/30/2015
- Last Update Date: 06/04/2018
Medical Identifiers
Medical identifiers for Quinton Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275998536 | 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. Quinton Jackson 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 |
Quinton Jackson, 850 Kaliste Saloom Rd Ste 117, Lafayette, LA 70508-4230 Ph: (337) 234-7109 | Quinton Jackson, 4951 Central Ave, Monroe, LA 71203 Ph: (318) 340-1535 |
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