Dr Lawrence Jackson, PHD in Las Vegas, NV - Medicare Marriage & Family Therapist Provider

Dr Lawrence Jackson, PHD is a medicare enrolled "Marriage & Family Therapist" provider in Las Vegas, Nevada. His current practice location is 10655 Park Run Dr, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (504) 214-0715.

Dr Lawrence Jackson is licensed to practice in Nevada (license number 3173) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710596267.

Contact Information

	Dr Lawrence Jackson, PHD
	10655 Park Run Dr, Las Vegas, NV 89144-4589
	(504) 214-0715
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lawrence Jackson
Gender	Male
Speciality	Marriage & Family Therapist
Location	10655 Park Run Dr, Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710596267
Provider Enumeration Date: 07/29/2020
Last Update Date: 09/14/2023

Medicare PECOS Information:

PECOS PAC ID: 9436500923
Enrollment ID: I20240109003210

Medical Identifiers

Medical identifiers for Dr Lawrence Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710596267	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	TPMF644 (Florida)	Secondary
106H00000X	Marriage & Family Therapist	1517 (Louisiana)	Secondary
106H00000X	Marriage & Family Therapist	3173 (Nevada)	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. Dr Lawrence Jackson allows following entities to bill medicare on his behalf.

Entity Name	Administrators Of The Tulane Educational Fund
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528014164 PECOS PAC ID: 0446163760 Enrollment ID: O20031201000636

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. Dr Lawrence 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
Dr Lawrence Jackson, PHD 9850 Poplar Point Ave, Las Vegas, NV 89178-6315 Ph: (504) 214-0715	Dr Lawrence Jackson, PHD 10655 Park Run Dr, Las Vegas, NV 89144-4589 Ph: (504) 214-0715

Reviews and Comments

Marriage & Family Therapist in Las Vegas, NV

Ms. Yolanda M Correa, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7271 W Charleston Blvd Ste 180, Las Vegas, NV 89117 Phone: 702-204-3922 Fax: 702-912-0298
Mrs. Alison Heather Jeffries, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2780 S Jones Blvd Ste 115d, Las Vegas, NV 89146 Phone: 702-935-0025 Fax: 702-935-0008
Mauricio Silva, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3455 Cliff Shadows Pkwy Ste 220, Las Vegas, NV 89129 Phone: 702-673-4745
Dav Id Morgan, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2685 S Rainbow Blvd, Suite 209, Las Vegas, NV 89146 Phone: 702-368-7766 Fax: 702-368-2177
Claranna Petrie, M.A., MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3711 E Sunset Rd, Suite 12, Las Vegas, NV 89120 Phone: 702-932-4308 Fax: 702-837-8930
Mark C Saindon, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3602 E Sunset Rd Ste 100, Las Vegas, NV 89120 Phone: 702-932-4308
Mrs. Cynthia Nell Osburn, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9414 W Lake Mead Blvd, Las Vegas, NV 89134 Phone: 702-525-6277

Dr Lawrence Jackson, PHD - Medicare Couples Therapy in Las Vegas, NV