Dr Jackson Patten Rainer, PHD in Brookhaven, GA - Medicare Clinical Psychologist Provider

Dr Jackson Patten Rainer, PHD is a medicare enrolled "Psychologist - Counseling" provider in Brookhaven, Georgia. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Chris 180 Inc and his current practice location is 3103 Clairmont Rd Ne Ste B, Brookhaven, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 636-1457.

Dr Jackson Patten Rainer is licensed to practice in Georgia (license number 1142) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457388019.

Contact Information

	Dr Jackson Patten Rainer, PHD
	3103 Clairmont Rd Ne Ste B, Brookhaven, GA 30329-1043
	(404) 636-1457
	(404) 636-7449

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jackson Patten Rainer
Gender	Male
Speciality	Clinical Psychologist
Experience	38 Years
Location	3103 Clairmont Rd Ne Ste B, Brookhaven, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jackson Patten Rainer graduated from medical school in 1986

NPI Data:

NPI Number: 1457388019
Provider Enumeration Date: 06/27/2006
Last Update Date: 10/13/2021

Medicare PECOS Information:

PECOS PAC ID: 5395061352
Enrollment ID: I20150310001266

Medical Identifiers

Medical identifiers for Dr Jackson Patten Rainer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457388019	NPI	-	NPPES
202G704720	Other	GA	PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	1142 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Chris 180 Inc	6800109489	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. Dr Jackson Patten Rainer allows following entities to bill medicare on his behalf.

Entity Name	Chris 180 Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134257827 PECOS PAC ID: 6800109489 Enrollment ID: O20150727000462

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 Jackson Patten Rainer 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 Jackson Patten Rainer, PHD 1017 Fayetteville Rd Se Ste A, Atlanta, GA 30316-2932 Ph: (404) 636-1457	Dr Jackson Patten Rainer, PHD 3103 Clairmont Rd Ne Ste B, Brookhaven, GA 30329-1043 Ph: (404) 636-1457

Reviews and Comments

Psychologist in Brookhaven, GA

Larae A Williams, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2801 Buford Hwy Ne, Suite #540, Brookhaven, GA 30329 Phone: 678-825-5371
Dr. Kelly Michelle Lewis-arthur, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2801 Buford Hwy Ne, Brookhaven, GA 30329 Phone: 770-284-1044 Fax: 404-228-3860
Amanda Kriegel, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1777 Northeast Expy Ne Ste 175, Brookhaven, GA 30329 Phone: 404-482-2375
Dr. Brandi Tanner, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2801 Buford Hwy Ne, Suite 503, Brookhaven, GA 30329 Phone: 404-491-1684
Shannan Michelle Edwards, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2924 Clairmont Rd Ne, Apartment 447, Brookhaven, GA 30329 Phone: 770-905-7573
Matthew Breiding, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3103 Clairmont Rd Ne Ste B, Brookhaven, GA 30329 Phone: 404-486-9034

Dr Jackson Patten Rainer, PHD - Medicare Psychologist in Brookhaven, GA