Dr Shelli Jackson, PHD - Medicare Psychologist in San Marcos, CA

Dr Shelli Jackson, PHD is a medicare enrolled "Psychologist" provider in San Marcos, California. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice The Halliday Center For Psychotherapy And Wellness, Inc and her current practice location is 979 Woodland Pkwy Ste 101-48, San Marcos, California. You can reach out to her office (for appointments etc.) via phone at (760) 505-6665.

Dr Shelli Jackson is licensed to practice in California (license number 32087) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326492026.

Contact Information

Dr Shelli Jackson, PHD
979 Woodland Pkwy Ste 101-48,
San Marcos, CA 92069-2220
(760) 505-6665
Not Available



Healthcare Provider's Profile

Full NameDr Shelli Jackson
GenderFemale
SpecialityClinical Psychologist
Experience5 Years
Location979 Woodland Pkwy Ste 101-48, San Marcos, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Shelli Jackson graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1326492026
  • Provider Enumeration Date: 04/19/2016
  • Last Update Date: 09/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9133531908
  • Enrollment ID: I20201221000221

Medical Identifiers

Medical identifiers for Dr Shelli Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326492026NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 32087 (California)Secondary
103TB0200XPsychologist - Cognitive & Behavioral 32087 (California)Secondary
103TH0004XPsychologist - Health 32087 (California)Secondary
103TP2701XPsychologist - Group Psychotherapy 32087 (California)Secondary
103T00000XPsychologist 32087 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Halliday Center For Psychotherapy And Wellness, Inc33757674374

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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. Dr Shelli Jackson allows following entities to bill medicare on her behalf.
Entity NameThe Halliday Center For Psychotherapy And Wellness, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164848958
PECOS PAC ID: 3375767437
Enrollment ID: O20140610002172

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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. Dr Shelli 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 AddressPractice Location Address
Dr Shelli Jackson, PHD
979 Woodland Pkwy Ste 101-48,
San Marcos, CA 92069-2220

Ph: (760) 593-4353
Dr Shelli Jackson, PHD
979 Woodland Pkwy Ste 101-48,
San Marcos, CA 92069-2220

Ph: (760) 505-6665

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Psychologist in San Marcos, CA

Dr. Lynda Rae Ariella, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 150 Valpreda Rd, San Marcos, CA 92069
Phone: 760-736-6767    Fax: 760-736-8740
Dr. Jane-ellen Mary Gorman, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 340 Rancheros Dr, San Marcos, CA 92069
Phone: 767-075-2490    Fax: 760-752-4924
Cheryl A Macdonald, PSYD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 277 Rancheros Dr Ste 301, San Marcos, CA 92069
Phone: 760-471-4073    Fax: 619-528-4625
Dr. George Koumaras, PHD
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Practice Location: 277 Rancheros Dr Ste 301, San Marcos, CA 92069
Phone: 760-471-4073    Fax: 619-528-4625
Dr. Emilia Ramirez, PSYD
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Medicare: Accepting Medicare Assignments
Practice Location: 300 Rancheros Dr Ste 130, San Marcos, CA 92069
Phone: 858-279-1223    
Dr. Carlene Smith, PH.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 950 Boardwalk, Suitie 304, San Marcos, CA 92078
Phone: 760-809-3718    Fax: 760-753-6446

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