Amy Jackson, MSW - Medicare Clinical Social Worker in Wake Forest, NC

Amy Jackson, MSW is a medicare enrolled "Social Worker - Clinical" provider in Wake Forest, North Carolina. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mindpath Care Centers North Carolina Pllc, Thriveworks Clinical - North Carolina Pc and her current practice location is 120 Capcom Ave Ste 101, Wake Forest, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 792-3967.

Amy Jackson is licensed to practice in North Carolina (license number C008972) 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 1386986073.

Contact Information

Amy Jackson, MSW
120 Capcom Ave Ste 101,
Wake Forest, NC 27587-6537
(919) 792-3967
(919) 761-5026

Map and Direction




Healthcare Provider's Profile

Full NameAmy Jackson
GenderFemale
SpecialityClinical Social Worker
Experience14 Years
Location120 Capcom Ave Ste 101, Wake Forest, North Carolina
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:
  • Amy Jackson graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1386986073
  • Provider Enumeration Date: 03/20/2013
  • Last Update Date: 08/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5698090587
  • Enrollment ID: I20150218000233

Medical Identifiers

Medical identifiers for Amy Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386986073NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical C008972 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mindpath Care Centers North Carolina Pllc468865551775
Thriveworks Clinical - North Carolina Pc852747120096

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. Amy Jackson allows following entities to bill medicare on her behalf.
Entity NameMindpath Care Centers North Carolina Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508803214
PECOS PAC ID: 4688655517
Enrollment ID: O20040526001582
Entity NameRha Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447376306
PECOS PAC ID: 8426196072
Enrollment ID: O20091119000172
Entity NameThriveworks Clinical - North Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003303082
PECOS PAC ID: 8527471200
Enrollment ID: O20210120000669

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. Amy 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
Amy Jackson, MSW
204 Muirs Chapel Rd, Suite 305,
Greensboro, NC 27410-6173

Ph: () -
Amy Jackson, MSW
120 Capcom Ave Ste 101,
Wake Forest, NC 27587-6537

Ph: (919) 792-3967

Reviews and Comments


Social Worker in Wake Forest, NC

Tracee Gregory, MSW, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 833 Wake Forest Business Park, Suite G, Wake Forest, NC 27587
Phone: 919-554-1231    Fax: 919-554-2406
Carolina Ramirez, LCSWA
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Medicare: Not Enrolled in Medicare
Practice Location: 3745 Willow Stone Ln, Wake Forest, NC 27587
Phone: 646-244-1629    
Minnie Simmons Vickers, MSW, LCSWA
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Medicare: Not Enrolled in Medicare
Practice Location: 2000 S Main St, Wake Forest, NC 27587
Phone: 919-521-0665    
Mrs. Angela Karen Bridges, M.S.W., L.C.S.W
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 7304 Mithrasdowne Ct, Wake Forest, NC 27587
Phone: 919-671-3317    Fax: 919-761-1244
Ms. Michelle Kathlyn Bates, MSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 120 Capcom Ave Ste 101, Wake Forest, NC 27587
Phone: 919-792-3967    Fax: 919-761-5026
Hilary Leath Norris, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1613 Forest Rd, Wake Forest, NC 27587
Phone: 919-608-4096    
Kimberly L Konderla, MSW, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 10580 Ligon Mill Rd, Wake Forest, NC 27587
Phone: 919-263-9592    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.