Andrea Marie Jackson, PHD is a medicare enrolled "Psychologist" provider in Creswell, Oregon. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Neuropsychological Services Of Oregon Llc and her current practice location is
170 Melton Rd, Creswell, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 306-6456.
Andrea Marie Jackson is licensed to practice in Oregon (license number 3120) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194255877.
Healthcare Provider's Profile
Full Name | Andrea Marie Jackson |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 8 Years |
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Location | 170 Melton Rd, Creswell, Oregon |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Andrea Marie Jackson graduated from medical school in 2017
NPI Data:
- NPI Number: 1194255877
- Provider Enumeration Date: 06/15/2017
- Last Update Date: 10/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719216431
- Enrollment ID: I20190905003099
Medical Identifiers
Medical identifiers for Andrea Marie Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194255877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 3120 (Oregon) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Neuropsychological Services Of Oregon Llc | 1658697701 | 2 |
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. Andrea Marie Jackson allows following entities to bill medicare on her behalf.
Entity Name | Neuropsychological Services Of Oregon Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164820478 PECOS PAC ID: 1658697701 Enrollment ID: O20150306002286 |
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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. Andrea Marie 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 |
Andrea Marie Jackson, PHD 170 Melton Rd, Creswell, OR 97426-9453 Ph: (541) 306-6456 | Andrea Marie Jackson, PHD 170 Melton Rd, Creswell, OR 97426-9453 Ph: (541) 306-6456 |
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