Monique Jackson, is a medicare enrolled "Speech-language Pathologist" provider in Saraland, Alabama. Her current practice location is
120 Bernard St, Saraland, Alabama. You can reach out to her office (for appointments etc.) via phone at
(251) 581-2341.
Monique Jackson is licensed to practice in Alabama (license number 4087) 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 1912668005.
Healthcare Provider's Profile
Full Name | Monique Jackson |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 120 Bernard St, Saraland, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912668005
- Provider Enumeration Date: 01/01/2022
- Last Update Date: 01/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 1557756376
- Enrollment ID: I20220317001493
Medical Identifiers
Medical identifiers for Monique Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912668005 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 4087 (Alabama) | 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. Monique Jackson allows following entities to bill medicare on her behalf.
Provider Name | Maximum Potential Speech Therapy Services Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1962158360 PECOS PAC ID: 0648665463 Enrollment ID: O20220317001160 |
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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. Monique 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 |
Monique Jackson, 1278 Hillard Howell Rd, Lucedale, MS 39452-9417 Ph: (251) 581-2341 | Monique Jackson, 120 Bernard St, Saraland, AL 36571-2031 Ph: (251) 581-2341 |
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