Kyle Lamet Jackson, in Fairfield, CA - Medicare Marriage & Family Therapist Provider

Kyle Lamet Jackson, is a medicare enrolled "Marriage & Family Therapist" provider in Fairfield, California. Her current practice location is 744 Empire St, Fairfield, California. You can reach out to her office (for appointments etc.) via phone at (925) 768-5052.

Kyle Lamet Jackson is licensed to practice in California (license number 88118) 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 1275018384.

Contact Information

	Kyle Lamet Jackson,
	744 Empire St, Fairfield, CA 94533-5562
	(925) 768-5052
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kyle Lamet Jackson
Gender	Female
Speciality	Marriage & Family Therapist
Location	744 Empire St, Fairfield, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275018384
Provider Enumeration Date: 09/25/2018
Last Update Date: 12/30/2021

Medicare PECOS Information:

PECOS PAC ID: 3274970769
Enrollment ID: I20240319004189

Medical Identifiers

Medical identifiers for Kyle Lamet Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275018384	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	88118 (California)	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. Kyle Lamet Jackson allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Kyle Lamet 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
Kyle Lamet Jackson, 744 Empire St, Fairfield, CA 94533-5562 Ph: (925) 768-5052	Kyle Lamet Jackson, 744 Empire St, Fairfield, CA 94533-5562 Ph: (925) 768-5052

Reviews and Comments

Marriage & Family Therapist in Fairfield, CA

Mrs. Charlin Amber Lumia, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 801 Empire St, Fairfield, CA 94533 Phone: 707-425-5744
Katrina Copeland, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 275 Beck Ave # Ms 5-250, Fairfield, CA 94533 Phone: 707-784-8337
Marco Antonio Sanchez, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 675 Texas St Ste 3800, Fairfield, CA 94533 Phone: 916-715-5930 Fax: 707-427-2784
Cyndi Carol Smit, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2224
Ms. Melanie Dawn Cook, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2152 Fax: 707-784-2269
Paul Severino Bright, MFT-I Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1771 Barton Dr, Fairfield, CA 94534 Phone: 707-648-8121
Mr. Kenneth R Evans, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 275 Beck Ave, Fairfield, CA 94533 Phone: 707-784-8189 Fax: 707-784-7995

Kyle Lamet Jackson, - Medicare Couples Therapy in Fairfield, CA