Stephanie Dionne Sanders Jackson, is a
Community Health Worker based in Columbus, Ohio. Stephanie Dionne Sanders Jackson is licensed to practice in * (Not Available) (license number ) and her current practice location is
195 N Grant Ave Ste 250, Columbus, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 260-6835.
NPI number for Stephanie Dionne Sanders Jackson is 1528714359 and her current mailing address is 434 Eastland Rd, Berea, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528714359.
Healthcare Provider's Profile
| Full Name | Stephanie Dionne Sanders Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 195 N Grant Ave Ste 250, Columbus, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1528714359
- Provider Enumeration Date: 03/02/2022
- Last Update Date: 04/05/2023
Medical Identifiers
Medical identifiers for Stephanie Dionne Sanders Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528714359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (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. Stephanie Dionne Sanders 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 |
|---|
Stephanie Dionne Sanders Jackson,
434 Eastland Rd,
Berea, OH 44017-1217
Ph: (440) 260-6835 | Stephanie Dionne Sanders Jackson,
195 N Grant Ave Ste 250,
Columbus, OH 43215-2855
Ph: (440) 260-6835 |
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