Mr Holli Vern Jackson, MSW in Bethel, AK - Social Worker

Mr Holli Vern Jackson, MSW is a Social Worker - Clinical based in Bethel, Alaska. Mr Holli Vern Jackson is licensed to practice in * (Not Available) (license number ) and his current practice location is 829 Chief Eddie Hoffman Hwy, Bethel, Alaska. He can be reached at his office (for appointments etc.) via phone at (907) 543-6100.

NPI number for Mr Holli Vern Jackson is 1699100511 and his current mailing address is Po Box 528, Bethel, Alaska. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699100511.

Contact Information

	Mr Holli Vern Jackson, MSW
	829 Chief Eddie Hoffman Hwy, Bethel, AK 99559
	(907) 543-6100
	(907) 543-6159

Healthcare Provider's Profile

Full Name	Mr Holli Vern Jackson
Gender	Male
Speciality	Social Worker - Clinical
Location	829 Chief Eddie Hoffman Hwy, Bethel, Alaska
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1699100511
Provider Enumeration Date: 09/10/2013
Last Update Date: 11/20/2019

Medical Identifiers

Medical identifiers for Mr Holli Vern Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699100511	NPI	-	NPPES
1020986	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	27403 (California)	Secondary
1041C0700X	Social Worker - Clinical	(* (Not Available))	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. Mr Holli Vern 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
Mr Holli Vern Jackson, MSW Po Box 528, Bethel, AK 99559-0528 Ph: (907) 546-6100	Mr Holli Vern Jackson, MSW 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559 Ph: (907) 543-6100

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Social Worker in Bethel, AK

Ora Lew Lowery, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 829 Chief Eddy Hoffman Hwy, Bethel, AK 99559 Phone: 907-543-6100 Fax: 907-543-6800
Kristian Gallegos, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 829 Chief Eddie Hoffman, Bethel, AK 99559 Phone: 907-543-6100 Fax: 907-543-6159
Ms. Joan P. Dewey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: #23 Trailer Park, Airport Road, Bethel, AK 99559 Phone: 907-543-5885 Fax: 907-543-5885
Julia Bragg, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559 Phone: 907-543-6100 Fax: 907-543-6008
Mr. Mohamed Ziauddin, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 324 Radio Street, Attn: Bh Patc Program, Bethel, AK 99559 Phone: 907-543-6730 Fax: 907-543-6712
Rebecca Lee Lanham, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1410 Calista Drive, Bethel, AK 99559 Phone: 907-543-6730 Fax: 907-543-6712
Diane M Mceachern, MSW,LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 829 Chief Eddie Hoffman, Bethel, AK 99559 Phone: 907-543-6101

Mr Holli Vern Jackson, MSW - Clinical Social Worker in Bethel, AK