Tonya Sue Jackson, PHD in Alexandria, LA - Medicare Psychologist Provider

Tonya Sue Jackson, PHD is a medicare enrolled "Psychologist - Intellectual & Developmental Disabilities" provider in Alexandria, Louisiana. Her current practice location is 5411 Coliseum Blvd, Alexandria, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 484-2347.

Tonya Sue Jackson is licensed to practice in Louisiana (license number 1072) 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 1255657243.

Contact Information

	Tonya Sue Jackson, PHD
	5411 Coliseum Blvd, Alexandria, LA 71303-3729
	(318) 484-2347
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tonya Sue Jackson
Gender	Female
Speciality	Psychologist - Intellectual & Developmental Disabilities
Location	5411 Coliseum Blvd, Alexandria, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255657243
Provider Enumeration Date: 04/15/2010
Last Update Date: 12/14/2021

Medicare PECOS Information:

PECOS PAC ID: 8628472081
Enrollment ID: I20210806000488

Medical Identifiers

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

Identifier	Type	State	Issuer
1255657243	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TM1800X	Psychologist - Intellectual & Developmental Disabilities	1072 (Louisiana)	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. Tonya Sue Jackson allows following entities to bill medicare on her behalf.

Entity Name	Central La Human Services District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033543756 PECOS PAC ID: 7618105529 Enrollment ID: O20140122000223

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. Tonya Sue 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
Tonya Sue Jackson, PHD 3770 Monroe Highway Ste C, Pmb 170, Pineville, LA 71360-4170 Ph: (318) 880-3044	Tonya Sue Jackson, PHD 5411 Coliseum Blvd, Alexandria, LA 71303-3729 Ph: (318) 484-2347

Reviews and Comments

Psychologist in Alexandria, LA

Dr. Darrel Bonelle Turner, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 620 Hummingbird Ln, Alexandria, LA 71303 Phone: 936-355-1618
Dr. Samantha Jean Tippy, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 4814 Westgarden Blvd, Alexandria, LA 71303 Phone: 815-210-5045
Andrew Swiantek, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 718 Downs Ln, Alexandria, LA 71303 Phone: 214-218-9538
Lauren Drerup Stokes, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1016 Calais Cir, Alexandria, LA 71303 Phone: 318-442-7355 Fax: 318-442-4407
Dr. David Clifford Daniel Jr., PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2495 Shreveport Hwy 71n, 116b Psychology Clinic, Alexandria, LA 71306 Phone: 318-473-0010 Fax: 318-483-5096
Dr. Leigh Ann Hess, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 5615 Jackson St Ext Bldg K, Alexandria, LA 71303 Phone: 318-443-7711

Tonya Sue Jackson, PHD - Medicare Psychologist in Alexandria, LA