Audrey Lee Jackson, MSW - Medicare Clinical Social Worker in Garden City, MI

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Audrey Lee Jackson, MSW is a medicare enrolled "Social Worker - Clinical" provider in Garden City, Michigan. Her current practice location is 1061 Inkster Rd, Garden City, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 291-0007.

Audrey Lee Jackson is licensed to practice in Michigan (license number 6801105658) 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 1093237943.

Contact Information

Audrey Lee Jackson, MSW
1061 Inkster Rd,
Garden City, MI 48135-3168
(734) 291-0007
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAudrey Lee Jackson
GenderFemale
SpecialitySocial Worker - Clinical
Location1061 Inkster Rd, Garden City, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093237943
  • Provider Enumeration Date: 07/12/2017
  • Last Update Date: 01/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6204240427
  • Enrollment ID: I20210129002230

Medical Identifiers

Medical identifiers for Audrey Lee Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093237943NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 6801105658 (Michigan)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. Audrey Lee Jackson allows following entities to bill medicare on her behalf.
Entity NameDownriver Mental Health Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295866135
PECOS PAC ID: 7911995139
Enrollment ID: O20040505000533
Entity NameNeighborhood Service Organization
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891825808
PECOS PAC ID: 7113907387
Enrollment ID: O20040720001455
Entity NameThrive Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215181300
PECOS PAC ID: 0749458420
Enrollment ID: O20190930001163

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. Audrey Lee 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
Audrey Lee Jackson, MSW
8594 N Canton Center Rd,
Canton, MI 48187-1310

Ph: (734) 291-0007		Audrey Lee Jackson, MSW
1061 Inkster Rd,
Garden City, MI 48135-3168

Ph: (734) 291-0007

Reviews and Comments


Social Worker in Garden City, MI

Brian D Ritson, MSW STUDENT
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2240 Middlebelt Rd, Garden City, MI 48135
Phone: 313-415-7622    Fax: 313-221-9908
Mr. Michael J Macdonell, LMSW, B.S, CAADC
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 6245 Inkster Rd, Garden City, MI 48135
Phone: 734-458-3395    
Mohamad Ali Rada,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 29447 Ford Rd, Garden City, MI 48135
Phone: 734-525-3246    Fax: 734-525-8534
Kathleen Murray-blaesser, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 6245 Inkster Rd, Garden City, MI 48135
Phone: 734-458-3395    Fax: 734-458-3394
Mrs. Charity M Loring, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2240 Middlebelt Rd, Suite 212, Garden City, MI 48135
Phone: 313-415-7622    
Danica Grceski, LLMSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 28351 Marquette St, Garden City, MI 48135
Phone: 734-762-8490    

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.