Alicia M Jackson, in Stockton, CA - Medicare Marriage & Family Therapist Provider

Alicia M Jackson, is a medicare enrolled "Marriage & Family Therapist" provider in Stockton, California. Her current practice location is 6707 Embarcadero Dr, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (209) 956-4240.

Alicia M Jackson is licensed to practice in * (Not Available) (license number ) 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 1912386525.

Contact Information

	Alicia M Jackson,
	6707 Embarcadero Dr, Stockton, CA 95219-3382
	(209) 956-4240
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alicia M Jackson
Gender	Female
Speciality	Marriage & Family Therapist
Location	6707 Embarcadero Dr, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912386525
Provider Enumeration Date: 05/28/2015
Last Update Date: 08/01/2016

Medicare PECOS Information:

PECOS PAC ID: 2466893672
Enrollment ID: I20240517002730

Medical Identifiers

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

Identifier	Type	State	Issuer
1912386525	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(* (Not Available))	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary

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. Alicia M Jackson allows following entities to bill medicare on her behalf.

Entity Name	Sutter Valley Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335

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. Alicia M 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
Alicia M Jackson, 6707 Embarcadero Dr, Stockton, CA 95219-3382 Ph: (209) 956-4240	Alicia M Jackson, 6707 Embarcadero Dr, Stockton, CA 95219-3382 Ph: (209) 956-4240

Reviews and Comments

Marriage & Family Therapist in Stockton, CA

Norman Love, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210 Phone: 209-478-2487
Mrs. Cynthia Denise Aguilera, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6707 Embarcadero Dr, Stockton, CA 95219 Phone: 209-956-4240
Katherine Bailey, MA, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6707 Embarcadero Dr, Stockton, CA 95219 Phone: 209-956-4240
Mrs. Taylere Louise Looney, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 540 N California St, Stockton, CA 95202 Phone: 209-464-4524
Mr. Wayne A. Uecker, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-8834
Davetta Jackson-young, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8863 Santa Maria Way, Stockton, CA 95210 Phone: 678-704-5213
Mr. Adam William Diestler, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1414 N California St, Stockton, CA 95202 Phone: 209-468-2385

Alicia M Jackson, - Medicare Couples Therapy in Stockton, CA