Tiffany Ann Jackson, LPC in Cleveland, TX - Medicare Counselor Provider

Tiffany Ann Jackson, LPC is a medicare enrolled "Counselor - Professional" provider in Cleveland, Texas. Her current practice location is 2004 Truman St, Cleveland, Texas. You can reach out to her office (for appointments etc.) via phone at (281) 432-3000.

Tiffany Ann Jackson is licensed to practice in Texas (license number 86357) 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 1053994079.

Contact Information

	Tiffany Ann Jackson, LPC
	2004 Truman St, Cleveland, TX 77327-4745
	(281) 432-3000
	(936) 760-2898

Map and Direction

Healthcare Provider's Profile

Full Name	Tiffany Ann Jackson
Gender	Female
Speciality	Counselor - Professional
Location	2004 Truman St, Cleveland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053994079
Provider Enumeration Date: 04/29/2021
Last Update Date: 02/14/2023

Medicare PECOS Information:

PECOS PAC ID: 9436507381
Enrollment ID: I20231203000007

Medical Identifiers

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

Identifier	Type	State	Issuer
1053994079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	86357 (Texas)	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. Tiffany Ann Jackson allows following entities to bill medicare on her behalf.

Entity Name	Tri-county Behavioral Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851333074 PECOS PAC ID: 5991754772 Enrollment ID: O20050119000528

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. Tiffany Ann 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
Tiffany Ann Jackson, LPC 4219 Orange Grove Dr, Houston, TX 77039-6313 Ph: (832) 470-5888	Tiffany Ann Jackson, LPC 2004 Truman St, Cleveland, TX 77327-4745 Ph: (281) 432-3000

Reviews and Comments

Counselor in Cleveland, TX

Stacy Lynn Reynolds, Counselor Medicare: Medicare Enrolled Practice Location: 112 Shade Crest Ln, Cleveland, TX 77327 Phone: 281-528-3500
Kayce Lynn Morgan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 E Crockett St, Cleveland, TX 77327 Phone: 832-233-3086 Fax: 832-415-3050
Milagros Aguilar-castro, LPC, LCDC Counselor Medicare: Medicare Enrolled Practice Location: 307 N William Barnett Ave, Cleveland, TX 77327 Phone: 281-592-2224
Shannon David Selby, Counselor Medicare: Medicare Enrolled Practice Location: 153 County Road 3810, Cleveland, TX 77328 Phone: 870-362-1857

Tiffany Ann Jackson, LPC - Medicare Counselor in Cleveland, TX