Mr Matthew Jackson, in South Bend, IN - Medicare Clinical Psychologist Provider

Mr Matthew Jackson, is a medicare enrolled "Psychologist - Clinical" provider in South Bend, Indiana. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Beacon Medical Group Inc and his current practice location is 714 N Michigan St, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 647-7477.

Mr Matthew Jackson is licensed to practice in Indiana (license number 20042961A) 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 1952794570.

Contact Information

	Mr Matthew Jackson,
	714 N Michigan St, South Bend, IN 46601-1035
	(574) 647-7477
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Matthew Jackson
Gender	Male
Speciality	Clinical Psychologist
Experience	9 Years
Location	714 N Michigan St, South Bend, Indiana
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:

Mr Matthew Jackson graduated from medical school in 2015

NPI Data:

NPI Number: 1952794570
Provider Enumeration Date: 03/06/2015
Last Update Date: 05/01/2023

Medicare PECOS Information:

PECOS PAC ID: 5991054967
Enrollment ID: I20180823003656

Medical Identifiers

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

Identifier	Type	State	Issuer
1952794570	NPI	-	NPPES
300017159	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	20042961A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beacon Medical Group Inc	1254243306	444

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. Mr Matthew Jackson allows following entities to bill medicare on his behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

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. Mr Matthew 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
Mr Matthew Jackson, 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610	Mr Matthew Jackson, 714 N Michigan St, South Bend, IN 46601-1035 Ph: (574) 647-7477

Reviews and Comments

Psychologist in South Bend, IN

Rachel Njuguna, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131
Barbara S Searle, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3603 E Jefferson Blvd, Suiteb, South Bend, IN 46615 Phone: 574-237-1003 Fax: 574-237-1006
Dr. George Gilbert Moss, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 22057 Sandybrook Dr, South Bend, IN 46628 Phone: 574-514-4302
Nicole Gebadlo, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2505 E Jefferson Blvd, South Bend, IN 46615 Phone: 574-289-4831 Fax: 574-234-2075
Lisa Annette Ward, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 737 Beale St, South Bend, IN 46616 Phone: 574-393-6120
Vaughn Thomas Mawhinney, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 828 E Colfax Ave, South Bend, IN 46617 Phone: 574-251-1531 Fax: 574-234-5710
Joann Michelle Jackson, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652

Mr Matthew Jackson, - Medicare Psychologist in South Bend, IN