Mr Mark Henry Jackson, LCSW in Clovis, CA - Medicare Social Worker Provider

Mr Mark Henry Jackson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Clovis, California. His current practice location is 3097 Willow Ave Ste 9, Clovis, California. You can reach out to his office (for appointments etc.) via phone at (559) 258-0545.

Mr Mark Henry Jackson is licensed to practice in California (license number 60523) 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 1487976387.

Contact Information

	Mr Mark Henry Jackson, LCSW
	3097 Willow Ave Ste 9, Clovis, CA 93612-4715
	(559) 258-0545
	(559) 820-0211

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Mark Henry Jackson
Gender	Male
Speciality	Social Worker - Clinical
Location	3097 Willow Ave Ste 9, Clovis, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487976387
Provider Enumeration Date: 02/18/2010
Last Update Date: 06/28/2024

Medicare PECOS Information:

PECOS PAC ID: 1557592979
Enrollment ID: I20140328001215

Medical Identifiers

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

Identifier	Type	State	Issuer
1487976387	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	60523 (California)	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. Mr Mark Henry Jackson allows following entities to bill medicare on his behalf.

Entity Name	Achievements Unlimited Clinical Psychology Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972953875 PECOS PAC ID: 0840662573 Enrollment ID: O20230207000634

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. Mr Mark Henry 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
Mr Mark Henry Jackson, LCSW 3097 Willow Ave Ste 9, Clovis, CA 93612-4715 Ph: (559) 258-0545	Mr Mark Henry Jackson, LCSW 3097 Willow Ave Ste 9, Clovis, CA 93612-4715 Ph: (559) 258-0545

Reviews and Comments

Social Worker in Clovis, CA

Linda Garcia, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3114 Willow Ave Ste 102, Clovis, CA 93612 Phone: 559-428-3012 Fax: 559-475-8052
Stacy Lynn Fazio, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 755 N Peach Ave Ste H14, Clovis, CA 93611 Phone: 555-999-7308 Fax: 559-712-6282
Alison Tolladay, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1797 San Jose Ave, Clovis, CA 93611 Phone: 559-790-2271
Mark David Mcomber, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 624 Woodworth Ave, Clovis, CA 93612 Phone: 559-297-6060
Mrs. Jessie L. Robb, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 334 Shaw Ave, Suite 100, Clovis, CA 93612 Phone: 559-454-1819 Fax: 559-255-2930
Mrs. Patricia L. Sweetman, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 264 Clovis Ave, Suite 104, Clovis, CA 93612 Phone: 559-930-2403 Fax: 559-255-7008
Carol A. Merrick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 530 Dewitt, Suite 101, Clovis, CA 93612 Phone: 559-905-7295

Mr Mark Henry Jackson, LCSW - Medicare Clinical Social Worker in Clovis, CA