Diane Jackson, LCSW in Richmond, VA - Medicare Social Worker Provider

Diane Jackson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Richmond, Virginia. Her current practice location is 9416 Creek Summit Cir, Richmond, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 819-4000.

Diane Jackson is licensed to practice in Virginia (license number 0904007697) 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 1366729493.

Contact Information

	Diane Jackson, LCSW
	9416 Creek Summit Cir, Richmond, VA 23235-4277
	(804) 819-4000
	(804) 819-5221

Map and Direction

Healthcare Provider's Profile

Full Name	Diane Jackson
Gender	Female
Speciality	Social Worker - Clinical
Location	9416 Creek Summit Cir, Richmond, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366729493
Provider Enumeration Date: 11/03/2011
Last Update Date: 07/25/2014

Medicare PECOS Information:

PECOS PAC ID: 1456573229
Enrollment ID: I20141111000785

Medical Identifiers

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

Identifier	Type	State	Issuer
1366729493	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904007697 (Virginia)	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. Diane Jackson allows following entities to bill medicare on her behalf.

Entity Name	Cmh Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194760645 PECOS PAC ID: 3779551445 Enrollment ID: O20040921000171

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. Diane 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
Diane Jackson, LCSW 9416 Creek Summit Cir, Richmond, VA 23235-4277 Ph: (804) 819-4000	Diane Jackson, LCSW 9416 Creek Summit Cir, Richmond, VA 23235-4277 Ph: (804) 819-4000

Reviews and Comments

Social Worker in Richmond, VA

Mr. J. Patrick Slifka, LCSW, CAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5002 Monument Avenue Suite 201, Richmond, VA 23230 Phone: 804-497-4676 Fax: 804-497-4677
Mrs. Hope L. Helton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 720 Moorefield Park Dr, Suite 202, Richmond, VA 23236 Phone: 804-272-7611 Fax: 804-560-5574
Kristi Difilippo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9515 Catesby Ln, Richmond, VA 23238 Phone: 804-741-7500 Fax: 804-741-7900
Richara Shepperson-turner, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 301 N Ninth St, Richmond, VA 23219 Phone: 804-780-7312
Sarah Metz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3900 W Broad St, Richmond, VA 23230 Phone: 804-353-4461
Melissa-irene Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2219 W Main St, Richmond, VA 23220 Phone: 804-234-3158
Kimberly Embe-mamong, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 E Laburnum Ave Ste 3, Richmond, VA 23222 Phone: 804-277-9892

Diane Jackson, LCSW - Medicare Clinical Social Worker in Richmond, VA