Dr Shasa Jackson, LCSW, DBH in Avondale, AZ - Medicare Social Worker Provider

Dr Shasa Jackson, LCSW, DBH is a medicare enrolled "Social Worker - Clinical" provider in Avondale, Arizona. Her current practice location is 950 E Van Buren St, Avondale, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 344-6860.

Dr Shasa Jackson is licensed to practice in Arizona (license number LCSW-20522) 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 1013640036.

Contact Information

	Dr Shasa Jackson, LCSW, DBH
	950 E Van Buren St, Avondale, AZ 85323-1506
	(623) 344-6860
	(602) 655-9682

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shasa Jackson
Gender	Female
Speciality	Social Worker - Clinical
Location	950 E Van Buren St, Avondale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013640036
Provider Enumeration Date: 07/07/2022
Last Update Date: 07/07/2022

Medicare PECOS Information:

PECOS PAC ID: 6901280783
Enrollment ID: I20220827000184

Medical Identifiers

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

Identifier	Type	State	Issuer
1013640036	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-20522 (Arizona)	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. Dr Shasa Jackson allows following entities to bill medicare on her behalf.

Entity Name	Maricopa County Special Health Care District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073576740 PECOS PAC ID: 4688583651 Enrollment ID: O20031204000823

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. Dr Shasa 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
Dr Shasa Jackson, LCSW, DBH 2619 E. Roosevelt, Phoenix, AZ 85008 Ph: () -	Dr Shasa Jackson, LCSW, DBH 950 E Van Buren St, Avondale, AZ 85323-1506 Ph: (623) 344-6860

Reviews and Comments

Social Worker in Avondale, AZ

Miss Theresa Beltran, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13065 W Mcdowell Rd, Suite C-113, Avondale, AZ 85323 Phone: 602-403-1742 Fax: 623-398-8488
Heather Wheeler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10550 W Mcdowell Rd, Avondale, AZ 85392 Phone: 480-565-3064 Fax: 480-500-3902
Leticia Maria Leon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 235 W Western Ave, Avondale, AZ 85323 Phone: 602-230-7373 Fax: 602-441-5836
Zebunnessa Ahmed, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12212 W Mohave St, Avondale, AZ 85323 Phone: 623-203-4247
Mindy Huang, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12725 W Indian School Rd Ste E101, Avondale, AZ 85392 Phone: 206-304-4469
Ira Roach, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 235 W Western Ave, Avondale, AZ 85323 Phone: 602-230-7373

Dr Shasa Jackson, LCSW, DBH - Medicare Clinical Social Worker in Avondale, AZ