Dr Stephanie Colleen Jackson, MD in Cedar Rapids, IA

Dr Stephanie Colleen Jackson, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Cedar Rapids, Iowa. Her current practice location is 275 10th St Se Ste 3320, Cedar Rapids, Iowa. You can reach out to her office (for appointments etc.) via phone at (319) 398-1721.

Dr Stephanie Colleen Jackson is licensed to practice in Nevada (license number 14922) 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 1013177872.

Contact Information

	Dr Stephanie Colleen Jackson, MD
	275 10th St Se Ste 3320, Cedar Rapids, IA 52403-2450
	(319) 398-1721
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Stephanie Colleen Jackson
Gender	Female
Speciality	Psychiatry & Neurology - Neurology
Location	275 10th St Se Ste 3320, Cedar Rapids, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013177872
Provider Enumeration Date: 06/13/2008
Last Update Date: 04/02/2023

Medicare PECOS Information:

PECOS PAC ID: 5092941344
Enrollment ID: I20220519000629

Medical Identifiers

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

Identifier	Type	State	Issuer
1013177872	NPI	-	NPPES
14922	Other	NV	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	1252071 (Iowa)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	14922 (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 Stephanie Colleen Jackson allows following entities to bill medicare on her behalf.

Entity Name	Northern Arizona Healthcare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409

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 Stephanie Colleen 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 Stephanie Colleen Jackson, MD 275 10th St Se Ste 3320, Cedar Rapids, IA 52403-2450 Ph: (319) 398-1721	Dr Stephanie Colleen Jackson, MD 275 10th St Se Ste 3320, Cedar Rapids, IA 52403-2450 Ph: (319) 398-1721

Reviews and Comments

Psychiatry & Neurology Doctors in Cedar Rapids, IA

Dr. Dorthea Lorine Wheeler, MD, PHD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1730 1st Ave Ne, Cedar Rapids, IA 52402 Phone: 319-365-3993
Allyson L Wheaton, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1730 1st Ave Ne, Cedar Rapids, IA 52402 Phone: 319-365-3993 Fax: 319-364-0116
Alan Whitters, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3705 River Ridge Dr Ne, Cedar Rapids, IA 52402 Phone: 319-393-0004 Fax: 319-393-0900
Jeniece Nott, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1730 1st Ave Ne, Cedar Rapids, IA 52402 Phone: 319-365-3993
Mr. Winthrop S Risk Ii, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 811 5th Ave Se, Cedar Rapids, IA 52403 Phone: 319-362-7924 Fax: 319-362-1435
Philip Thomas Ryan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1026 A Ave Ne, Cedar Rapids, IA 52402 Phone: 319-369-7211

Dr Stephanie Colleen Jackson, MD - Medicare Psychiatry & Neurology in Cedar Rapids, IA