Damien Jackson, in Mundelein, IL - Medicare Clinical Social Worker Provider

Damien Jackson, is a medicare enrolled "Social Worker - Clinical" provider in Mundelein, Illinois. He went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Richard Kneip, Ph.d., P.c. and his current practice location is 201 Maplewood Ave, Mundelein, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 234-4808.

Damien Jackson is licensed to practice in Illinois (license number 149021097) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588256424.

Contact Information

	Damien Jackson,
	201 Maplewood Ave, Mundelein, IL 60060-4129
	(773) 234-4808
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Damien Jackson
Gender	Male
Speciality	Clinical Social Worker
Experience	12 Years
Location	201 Maplewood Ave, Mundelein, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Damien Jackson attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2012

NPI Data:

NPI Number: 1588256424
Provider Enumeration Date: 02/10/2021
Last Update Date: 02/10/2021

Medicare PECOS Information:

PECOS PAC ID: 9436542842
Enrollment ID: I20220208001045

Medical Identifiers

Medical identifiers for Damien Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588256424	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149021097 (Illinois)	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. Damien Jackson allows following entities to bill medicare on his behalf.

Entity Name	Richard Kneip, Ph.d., P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20190204000199

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. Damien 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
Damien Jackson, 201 Maplewood Ave, Mundelein, IL 60060-4129 Ph: () -	Damien Jackson, 201 Maplewood Ave, Mundelein, IL 60060-4129 Ph: (773) 234-4808

Reviews and Comments

Social Worker in Mundelein, IL

Carly Schwartz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 39 E Hawley St, Mundelein, IL 60060 Phone: 847-400-0223
Julie L Gange, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1765 Somerset Ln, Mundelein, IL 60060 Phone: 847-373-9374
Mr. Edward Paul Stith, MSW LCSW ACSW TYPE 7 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 N Lake St, Suite 206, Mundelein, IL 60060 Phone: 847-837-1450
Stephanie Lerner-ernsteen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 39 E Hawley St, Mundelein, IL 60060 Phone: 847-489-7282 Fax: 847-566-0182
Ms. Karen Lynn Wolownik, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27255 N Fairfield Rd, Mundelein, IL 60060 Phone: 847-487-9455 Fax: 847-487-9037
Shannon Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2883 Kessler Dr, Mundelein, IL 60060 Phone: 847-567-2184
Ms. Saralynn Wingard Reedy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27255 N Fairfield Rd, Mundelein, IL 60060 Phone: 847-487-9455 Fax: 847-487-9037

Damien Jackson, - Medicare Clinical Social Worker in Mundelein, IL