Brandi G King-jackson, in Dallas, OR - Medicare Social Worker Provider

Brandi G King-jackson, is a medicare enrolled "Social Worker - Clinical" provider in Dallas, Oregon. Her current practice location is 182 Sw Academy St, Dallas, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 623-9289.

Brandi G King-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 1023541703.

Contact Information

	Brandi G King-jackson,
	182 Sw Academy St, Dallas, OR 97338-1996
	(503) 623-9289
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brandi G King-jackson
Gender	Female
Speciality	Social Worker - Clinical
Location	182 Sw Academy St, Dallas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023541703
Provider Enumeration Date: 04/10/2017
Last Update Date: 05/15/2023

Medicare PECOS Information:

PECOS PAC ID: 9739535402
Enrollment ID: I20231101001324

Medical Identifiers

Medical identifiers for Brandi G King-jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023541703	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (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. Brandi G King-jackson allows following entities to bill medicare on her behalf.

Entity Name	Yamhill County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891821500 PECOS PAC ID: 3274421169 Enrollment ID: O20040419001782

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. Brandi G King-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
Brandi G King-jackson, 182 Sw Academy St, Dallas, OR 97338-1996 Ph: (503) 623-9289	Brandi G King-jackson, 182 Sw Academy St, Dallas, OR 97338-1996 Ph: (503) 623-9289

Reviews and Comments

Social Worker in Dallas, OR

Llama Taylor, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 E Ellendale Ave, Dallas, OR 97338 Phone: 503-623-5588 Fax: 503-623-4729
Mr. Ronald Richard Ryden, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289
Linda Leann Shannon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18620 Falls City Rd, Dallas, OR 97338 Phone: 503-373-4908 Fax: 503-391-7422
Mr. Tristan Daimon Adrian, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289
Gabriella Cordy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St Ste 304, Dallas, OR 97338 Phone: 503-302-9921
Leah Mangis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St Ste 333, Dallas, OR 97338 Phone: 503-409-4499

Brandi G King-jackson, - Medicare Clinical Social Worker in Dallas, OR