Mrs Kelly Ann Jackson, SLP in Naples, FL - Medicare Speech-Language Pathologist Provider

Mrs Kelly Ann Jackson, SLP is a medicare enrolled "Speech-language Pathologist" provider in Naples, Florida. Her current practice location is 3490 Thrive Dr, Naples, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 354-7081.

Mrs Kelly Ann Jackson is licensed to practice in Florida (license number SA12118) 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 1720789688.

Contact Information

	Mrs Kelly Ann Jackson, SLP
	3490 Thrive Dr, Naples, FL 34105-5082
	(239) 354-7081
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kelly Ann Jackson
Gender	Female
Speciality	Speech-language Pathologist
Location	3490 Thrive Dr, Naples, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720789688
Provider Enumeration Date: 03/16/2023
Last Update Date: 03/16/2023

Medicare PECOS Information:

PECOS PAC ID: 3274908538
Enrollment ID: I20230419000765

Medical Identifiers

Medical identifiers for Mrs Kelly Ann Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720789688	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SA12118 (Florida)	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. Mrs Kelly Ann Jackson allows following entities to bill medicare on her behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1336535988 PECOS PAC ID: 2163339722 Enrollment ID: O20150805009289

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. Mrs Kelly Ann 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
Mrs Kelly Ann Jackson, SLP 15441 Cortona Way, Naples, FL 34120-0676 Ph: (407) 716-3614	Mrs Kelly Ann Jackson, SLP 3490 Thrive Dr, Naples, FL 34105-5082 Ph: (239) 354-7081

Reviews and Comments

Speech-Language Pathologist in Naples, FL

Vanesa Bedoya Baquero, M.S., C-F SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6734 Lone Oak Blvd, Naples, FL 34109 Phone: 239-597-0935
Mrs. Janice Lindsey Sukay, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8735 Gleneagle Way, Naples, FL 34120 Phone: 610-999-1777
Ms. Sally Penrose, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 273 Johnnycake Dr, Naples, FL 34110 Phone: 239-273-6029
Jenai Carroll, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 7828 Gardner Dr Unit 102, Naples, FL 34109 Phone: 201-230-7831
Naples Pediatric Speech Therapy, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16091 Camden Lakes Cir, Naples, FL 34110 Phone: 239-427-3437
Mr. Eric Carl Wiesner, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3490 Ocean Bluff Ct, Naples, FL 34120 Phone: 239-455-5705
Darcia Marie Brawley, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 151 Cypress Way E Apt D107, Naples, FL 34110 Phone: 754-816-0627

Mrs Kelly Ann Jackson, SLP - Medicare Speech-Language Pathologist in Naples, FL