Mark A Jackson, LCSW in Venice, FL - Medicare Social Worker Provider

Mark A Jackson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Venice, Florida. His current practice location is 513 Menendez St, Venice, Florida. You can reach out to his office (for appointments etc.) via phone at (917) 319-1210.

Mark A Jackson is licensed to practice in Florida (license number SW11508) 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 1972990844.

Contact Information

	Mark A Jackson, LCSW
	513 Menendez St, Venice, FL 34285-2233
	(917) 319-1210
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mark A Jackson
Gender	Male
Speciality	Social Worker - Clinical
Location	513 Menendez St, Venice, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972990844
Provider Enumeration Date: 04/18/2015
Last Update Date: 04/18/2015

Medicare PECOS Information:

PECOS PAC ID: 0941520795
Enrollment ID: I20150519002750

Medical Identifiers

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

Identifier	Type	State	Issuer
1972990844	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW11508 (Florida)	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. Mark A Jackson allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

Entity Name	Mindful Mental Health Services - Fl Gulf Sw Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568121267 PECOS PAC ID: 9234523325 Enrollment ID: O20220307001924

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. Mark A 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
Mark A Jackson, LCSW 5528 Cartagena Dr, Sarasota, FL 34233-3504 Ph: (917) 319-1210	Mark A Jackson, LCSW 513 Menendez St, Venice, FL 34285-2233 Ph: (917) 319-1210

Reviews and Comments

Social Worker in Venice, FL

Mrs. Diane K Clukey Chenard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 230 Tamiami Trl S Ste 3, Venice, FL 34285 Phone: 941-473-3838
Mrs. Christine Marie Digangi-korbel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12161 Mercado Dr Ste 258, Venice, FL 34293 Phone: 847-920-7070
Nancy J Stetter-coblentz, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1790 E Venice Ave Ste 204, Venice, FL 34292 Phone: 941-488-8884 Fax: 941-488-5554
Mrs. Elizabeth M Adams, SOCIAL WORKER, CLINI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 492 Buttonbush Lane, Venice, FL 34293 Phone: 941-441-5137 Fax: 305-453-5144
Richard Banton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 20398 Lagente Cir, Venice, FL 34293 Phone: 304-322-5509
Mrs. Nicole Kay Cummings, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4195 Tamiami Trl S Pmb #126, Venice, FL 34293 Phone: 941-497-2244 Fax: 941-497-2244
Barbara J. Kirk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 333 Tamiami Trl S Ste 288, Venice, FL 34285 Phone: 941-525-2427

Mark A Jackson, LCSW - Medicare Clinical Social Worker in Venice, FL