Erica Jackson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Troy, Virginia. Her current practice location is
310 Ironhound Dr, Troy, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 489-8442.
Erica 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 1538867494.
Healthcare Provider's Profile
Full Name | Erica Jackson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 310 Ironhound Dr, Troy, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538867494
- Provider Enumeration Date: 02/20/2023
- Last Update Date: 02/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 8325480213
- Enrollment ID: I20240523001368
Medical Identifiers
Medical identifiers for Erica Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538867494 | 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. Erica Jackson allows following entities to bill medicare on her behalf.
Entity Name | Dominion Behavioral Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043262215 PECOS PAC ID: 6709803570 Enrollment ID: O20051031000975 |
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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. Erica 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 |
Erica Jackson, LCSW Po Box 28202, Richmond, VA 23228-0202 Ph: () - | Erica Jackson, LCSW 310 Ironhound Dr, Troy, VA 22974-4368 Ph: (804) 489-8442 |
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