Mrs Tina Louise Jackson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Wartburg, Tennessee. Her current practice location is
224 Old Mill Rd, Wartburg, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 346-6221.
Mrs Tina Louise Jackson is licensed to practice in Tennessee (license number 61207) 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 1801015821.
Physician's Profile
Full Name | Mrs Tina Louise Jackson |
---|
Gender | Female |
---|
Speciality | Psychiatry & Neurology - Psychiatry |
---|
Location | 224 Old Mill Rd, Wartburg, Tennessee |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1801015821
- Provider Enumeration Date: 04/25/2007
- Last Update Date: 05/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 3476648064
- Enrollment ID: I20200824001946
Medical Identifiers
Medical identifiers for Mrs Tina Louise Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801015821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 61207 (Tennessee) | 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. Mrs Tina Louise Jackson allows following entities to bill medicare on her behalf.
Entity Name | Morgan County Health Council Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1720099419 PECOS PAC ID: 6800865908 Enrollment ID: O20040927000288 |
---|
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. Mrs Tina Louise 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 |
Mrs Tina Louise Jackson, MD 240 W Tyrone Rd Rm 714, Oak Ridge, TN 37830-6517 Ph: (865) 482-1076 | Mrs Tina Louise Jackson, MD 224 Old Mill Rd, Wartburg, TN 37887-4163 Ph: (423) 346-6221 |
Reviews and Comments