Veronda Jackson, is a
Case Manager/care Coordinator based in Milwaukee, Wisconsin. Veronda Jackson is licensed to practice in * (Not Available) (license number ) and her current practice location is
3774 N 13th St, Milwaukee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 792-0775.
NPI number for Veronda Jackson is 1417606559 and her current mailing address is 3774 N 13th St, Milwaukee, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417606559.
Healthcare Provider's Profile
Full Name | Veronda Jackson |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 3774 N 13th St, Milwaukee, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417606559
- Provider Enumeration Date: 03/23/2022
- Last Update Date: 03/23/2022
Medical Identifiers
Medical identifiers for Veronda Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417606559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 17739-130 (Wisconsin) | 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. Veronda 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 |
Veronda Jackson, 3774 N 13th St, Milwaukee, WI 53206-3011 Ph: (414) 792-0775 | Veronda Jackson, 3774 N 13th St, Milwaukee, WI 53206-3011 Ph: (414) 792-0775 |
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