Dr Shelli Jackson, PHD in San Marcos, CA - Medicare Clinical Psychologist Provider

Dr Shelli Jackson, PHD is a medicare enrolled "Psychologist" provider in San Marcos, California. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice The Halliday Center For Psychotherapy And Wellness, Inc and her current practice location is 979 Woodland Pkwy Ste 101-48, San Marcos, California. You can reach out to her office (for appointments etc.) via phone at (760) 505-6665.

Dr Shelli Jackson is licensed to practice in California (license number 32087) 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 1326492026.

Contact Information

	Dr Shelli Jackson, PHD
	979 Woodland Pkwy Ste 101-48, San Marcos, CA 92069-2220
	(760) 505-6665
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shelli Jackson
Gender	Female
Speciality	Clinical Psychologist
Experience	5 Years
Location	979 Woodland Pkwy Ste 101-48, San Marcos, California
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:

Dr Shelli Jackson graduated from medical school in 2019

NPI Data:

NPI Number: 1326492026
Provider Enumeration Date: 04/19/2016
Last Update Date: 09/27/2020

Medicare PECOS Information:

PECOS PAC ID: 9133531908
Enrollment ID: I20201221000221

Medical Identifiers

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

Identifier	Type	State	Issuer
1326492026	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	32087 (California)	Secondary
103TB0200X	Psychologist - Cognitive & Behavioral	32087 (California)	Secondary
103TH0004X	Psychologist - Health	32087 (California)	Secondary
103TP2701X	Psychologist - Group Psychotherapy	32087 (California)	Secondary
103T00000X	Psychologist	32087 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Halliday Center For Psychotherapy And Wellness, Inc	3375767437	5

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 Shelli Jackson allows following entities to bill medicare on her behalf.

Entity Name	The Halliday Center For Psychotherapy And Wellness, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164848958 PECOS PAC ID: 3375767437 Enrollment ID: O20140610002172

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 Shelli 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 Shelli Jackson, PHD 979 Woodland Pkwy Ste 101-48, San Marcos, CA 92069-2220 Ph: (760) 593-4353	Dr Shelli Jackson, PHD 979 Woodland Pkwy Ste 101-48, San Marcos, CA 92069-2220 Ph: (760) 505-6665

Reviews and Comments

Psychologist in San Marcos, CA

Dr. Lynda Rae Ariella, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 150 Valpreda Rd, San Marcos, CA 92069 Phone: 760-736-6767 Fax: 760-736-8740
Dr. Jane-ellen Mary Gorman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 340 Rancheros Dr, San Marcos, CA 92069 Phone: 767-075-2490 Fax: 760-752-4924
Cheryl A Macdonald, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 277 Rancheros Dr Ste 301, San Marcos, CA 92069 Phone: 760-471-4073 Fax: 619-528-4625
Dr. George Koumaras, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 277 Rancheros Dr Ste 301, San Marcos, CA 92069 Phone: 760-471-4073 Fax: 619-528-4625
Dr. Emilia Ramirez, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 300 Rancheros Dr Ste 130, San Marcos, CA 92069 Phone: 858-279-1223
Dr. Carlene Smith, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 950 Boardwalk, Suitie 304, San Marcos, CA 92078 Phone: 760-809-3718 Fax: 760-753-6446

Dr Shelli Jackson, PHD - Medicare Psychologist in San Marcos, CA