Eboney Jackson, PHD in San Antonio, TX - Medicare Psychologist Provider

Eboney Jackson, PHD is a medicare enrolled "Psychologist - Counseling" provider in San Antonio, Texas. Her current practice location is 6711 S New Braunfels Ave, Suite 100, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 532-8811.

Eboney Jackson is licensed to practice in Texas (license number 32651) 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 1497093116.

Contact Information

	Eboney Jackson, PHD
	6711 S New Braunfels Ave, Suite 100, San Antonio, TX 78223-3005
	(210) 532-8811
	(210) 531-8172

Map and Direction

Healthcare Provider's Profile

Full Name	Eboney Jackson
Gender	Female
Speciality	Psychologist - Counseling
Location	6711 S New Braunfels Ave, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497093116
Provider Enumeration Date: 01/31/2013
Last Update Date: 11/08/2022

Medicare PECOS Information:

PECOS PAC ID: 8820233299
Enrollment ID: I20130408000253

Medical Identifiers

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

Identifier	Type	State	Issuer
1497093116	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	32651 (Texas)	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. Eboney Jackson allows following entities to bill medicare on her behalf.

Entity Name	Gulf Bend Mental Health Mental Retardation Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467434399 PECOS PAC ID: 8628059631 Enrollment ID: O20040526000736

Entity Name	Russel Thompson, Phd & Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932431350 PECOS PAC ID: 3072798974 Enrollment ID: O20110419000379

Entity Name	Health And Human Services Commission
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356414692 PECOS PAC ID: 2163795824 Enrollment ID: O20170908001058

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. Eboney 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
Eboney Jackson, PHD 6502 Nursery Dr. Ste. 100, Victoria, TX 77904 Ph: (361) 575-0611	Eboney Jackson, PHD 6711 S New Braunfels Ave, Suite 100, San Antonio, TX 78223-3005 Ph: (210) 532-8811

Reviews and Comments

Psychologist in San Antonio, TX

Dr. Trudi Zaplac, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8626 Tesoro Dr Ste 490, San Antonio, TX 78217 Phone: 210-202-0100
Joshua D Essery, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8535 Tom Slick, San Antonio, TX 78229 Phone: 210-616-0300
Dr. Jesus Aranda-cano, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7400 Blanco Rd, Suite 126, San Antonio, TX 78216 Phone: 210-699-8700
Dr. Nancy Sylvia L. Witt, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 7272 Wurzbach Rd, Suite 706, San Antonio, TX 78240 Phone: 210-615-3483 Fax: 210-593-9863
Dr. David R Zimmermann, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 616 W Russell Pl, San Antonio, TX 78212 Phone: 800-257-8715 Fax: 800-819-1655
Russel L Thompson, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7400 Blanco Road, Suite 126, San Antonio, TX 78216 Phone: 210-699-8700 Fax: 210-587-2454
Jennifer Cleveland, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 614 Walnut Hill St, San Antonio, TX 78232 Phone: 917-774-1335

Eboney Jackson, PHD - Medicare Psychologist in San Antonio, TX