Dr Cristin Denise Jackson, DMD is a medicare enrolled "Dentist" provider in Vivian, Louisiana. Her current practice location is
815 S Pine St, Vivian, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 375-3235.
Dr Cristin Denise Jackson is licensed to practice in Louisiana (license number 7275) 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 1598420788.
Healthcare Provider's Profile
Full Name | Dr Cristin Denise Jackson |
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Gender | Female |
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Speciality | Dentist |
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Location | 815 S Pine St, Vivian, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598420788
- Provider Enumeration Date: 11/03/2021
- Last Update Date: 09/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143617605
- Enrollment ID: I20220502000976
Medical Identifiers
Medical identifiers for Dr Cristin Denise Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598420788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 7275 (Louisiana) | 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 Cristin Denise Jackson allows following entities to bill medicare on her behalf.
Entity Name | Vivian Dental |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235708702 PECOS PAC ID: 8325433881 Enrollment ID: O20220318001604 |
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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 Cristin Denise 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 Cristin Denise Jackson, DMD 815 S Pine St, Vivian, LA 71082-3314 Ph: (318) 375-3235 | Dr Cristin Denise Jackson, DMD 815 S Pine St, Vivian, LA 71082-3314 Ph: (318) 375-3235 |
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