Mrs Rae Lynn Jackson, MA,CCC-SLP is a
Speech-language Pathologist based in East Dubuque, Illinois. Mrs Rae Lynn Jackson is licensed to practice in Illinois (license number 146003918) and her current practice location is
100 N School Rd, East Dubuque, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 747-3117.
NPI number for Mrs Rae Lynn Jackson is 1861668857 and her current mailing address is 100 N School Rd, East Dubuque, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861668857.
Healthcare Provider's Profile
Full Name | Mrs Rae Lynn Jackson |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 100 N School Rd, East Dubuque, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861668857
- Provider Enumeration Date: 04/30/2008
- Last Update Date: 04/30/2008
Medical Identifiers
Medical identifiers for Mrs Rae Lynn Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861668857 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 146003918 (Illinois) | Primary |
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 Rae Lynn Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Rae Lynn Jackson, MA,CCC-SLP 100 N School Rd, East Dubuque, IL 61025-1174 Ph: (815) 747-3117 | Mrs Rae Lynn Jackson, MA,CCC-SLP 100 N School Rd, East Dubuque, IL 61025-1174 Ph: (815) 747-3117 |
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