Jackson Cooper, LCSW in Saco, ME - Medicare Social Worker Provider

Jackson Cooper, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Saco, Maine. His current practice location is 50 Moody St, Saco, Maine. You can reach out to his office (for appointments etc.) via phone at (800) 434-3000.

Jackson Cooper is licensed to practice in Maine (license number LC6541) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215123047.

Contact Information

	Jackson Cooper, LCSW
	50 Moody St, Saco, ME 04072-1536
	(800) 434-3000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jackson Cooper
Gender	Male
Speciality	Social Worker - Clinical
Location	50 Moody St, Saco, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215123047
Provider Enumeration Date: 09/14/2007
Last Update Date: 09/14/2007

Medicare PECOS Information:

PECOS PAC ID: 4082769716
Enrollment ID: I20090902000350

Medical Identifiers

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

Identifier	Type	State	Issuer
1215123047	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LC6541 (Maine)	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. Jackson Cooper allows following entities to bill medicare on his behalf.

Entity Name	Kennebec Valley Mental Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679504864 PECOS PAC ID: 7113829383 Enrollment ID: O20040127000419

Entity Name	Cornerstone Behavioral Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215102850 PECOS PAC ID: 7214097740 Enrollment ID: O20081113000616

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. Jackson Cooper 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
Jackson Cooper, LCSW 33 Obrion St, Portland, ME 04101-4411 Ph: () -	Jackson Cooper, LCSW 50 Moody St, Saco, ME 04072-1536 Ph: (800) 434-3000

Reviews and Comments

Social Worker in Saco, ME

Susan L Wiley, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 199 Main St, Saco, ME 04072 Phone: 207-571-3008 Fax: 207-571-3263
Mitchell I. Markowitz, MC9640 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Moody St, Saco, ME 04072 Phone: 207-294-4657
Allison Krzanowski, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13 Park St, Saco, ME 04072 Phone: 603-969-5233
Susan Paris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Moody St, Saco, ME 04072 Phone: 207-294-4657 Fax: 207-294-4649
Allison M Carrier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Moody St, Saco, ME 04072 Phone: 800-434-3000
Caitlin M Nolting, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Moody St, Saco, ME 04072 Phone: 800-434-3000 Fax: 207-294-4649
Gabrielle E Sawyer, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Moody St, Saco, ME 04072 Phone: 800-434-3000 Fax: 207-294-4649

Jackson Cooper, LCSW - Medicare Clinical Social Worker in Saco, ME