Ms Shaaron D Jackson, MA-CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Auburn, Wa, Washington. Her current practice location is
915 4th Street Ne, Auburn School District, Auburn, Wa, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 931-4927.
Ms Shaaron D Jackson is licensed to practice in * (Not Available) (license number ) 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 1760732093.
Healthcare Provider's Profile
Full Name | Ms Shaaron D Jackson |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 915 4th Street Ne, Auburn, Wa, Washington |
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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: 1760732093
- Provider Enumeration Date: 09/13/2012
- Last Update Date: 09/13/2012
Medicare PECOS Information:
- PECOS PAC ID: 1951756196
- Enrollment ID: I20231009001760
Medical Identifiers
Medical identifiers for Ms Shaaron D Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760732093 | NPI | - | NPPES |
01107304 | Other | WA | ASHA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | 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. Ms Shaaron D Jackson allows following entities to bill medicare on her behalf.
Provider Name | Alaska Native Tribal Health Consortium |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
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Provider Name | Southcentral Foundation |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416 |
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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. Ms Shaaron D 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 |
Ms Shaaron D Jackson, MA-CCC-SLP 915 4th Street Ne, Auburn School District, Auburn, Wa, WA 98002 Ph: (253) 931-4927 | Ms Shaaron D Jackson, MA-CCC-SLP 915 4th Street Ne, Auburn School District, Auburn, Wa, WA 98002 Ph: (253) 931-4927 |
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