Dr Paul A Jackson, PHD in Oakland, CA - Medicare Clinical Psychologist Provider

Dr Paul A Jackson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Oakland, California. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 459 W Macarthur Blvd, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 450-1830.

Dr Paul A Jackson is licensed to practice in California (license number PSY30112) 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 1477112522.

Contact Information

	Dr Paul A Jackson, PHD
	459 W Macarthur Blvd, Oakland, CA 94609-2808
	(510) 450-1830
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Paul A Jackson
Gender	Male
Speciality	Clinical Psychologist
Experience	27 Years
Location	459 W Macarthur Blvd, Oakland, California
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 Paul A Jackson graduated from medical school in 1997

NPI Data:

NPI Number: 1477112522
Provider Enumeration Date: 06/12/2019
Last Update Date: 06/12/2019

Medicare PECOS Information:

PECOS PAC ID: 3678983996
Enrollment ID: I20201030001106

Medical Identifiers

Medical identifiers for Dr Paul A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477112522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY30112 (California)	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 Paul A Jackson allows following entities to bill medicare on his behalf.

Entity Name	Pranamind Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558994277 PECOS PAC ID: 3971913294 Enrollment ID: O20201027002928

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 Paul A 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 Paul A Jackson, PHD Po Box 11293, Oakland, CA 94611-0293 Ph: (510) 450-1830	Dr Paul A Jackson, PHD 459 W Macarthur Blvd, Oakland, CA 94609-2808 Ph: (510) 450-1830

Reviews and Comments

Psychologist in Oakland, CA

Dr. Ronald C. Kimmons, PSYD, MSW, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2303 25th Ave, Oakland, CA 94601 Phone: 510-219-6405
Dr. Morgan E Bartholomew, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 970 Aileen St, Oakland, CA 94608 Phone: 661-992-6871
Dr. Dina Divsalar, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 711 Calmar Ave, Oakland, CA 94610 Phone: 510-206-3973
Dr. Cheryl Jacques, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5665 College Ave Ste 320c, Oakland, CA 94618 Phone: 510-653-0678 Fax: 510-898-9889
Anna Wong, PSY Psychologist Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 Fax: 510-752-1404
Debbie Rieza, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 29th St Ste 105, Oakland, CA 94609 Phone: 510-268-8120
Nadrienne A Pinnock, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3301 E 12th St, Oakland, CA 94601 Phone: 510-269-9030

Dr Paul A Jackson, PHD - Medicare Psychologist in Oakland, CA