Mr Robert Boyd Jackson Iv, LCSW in Nashville, TN - Medicare Social Worker Provider

Mr Robert Boyd Jackson Iv, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Nashville, Tennessee. His current practice location is 2400 White Ave, Nashville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 460-4171.

Mr Robert Boyd Jackson Iv is licensed to practice in Tennessee (license number 8512) 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 1710155197.

Contact Information

	Mr Robert Boyd Jackson Iv, LCSW
	2400 White Ave, Nashville, TN 37204-2235
	(615) 460-4171
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Robert Boyd Jackson Iv
Gender	Male
Speciality	Social Worker - Clinical
Location	2400 White Ave, Nashville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710155197
Provider Enumeration Date: 02/19/2008
Last Update Date: 04/10/2024

Medicare PECOS Information:

PECOS PAC ID: 4587014022
Enrollment ID: I20231227000426

Medical Identifiers

Medical identifiers for Mr Robert Boyd Jackson Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710155197	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	8512 (Tennessee)	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 Robert Boyd Jackson Iv allows following entities to bill medicare on his behalf.

Entity Name	Centerstone Of Tennessee, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396767430 PECOS PAC ID: 9739088113 Enrollment ID: O20040106000489

Entity Name	Healthy Mind Counseling Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457409898 PECOS PAC ID: 8325093081 Enrollment ID: O20070827000096

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 Robert Boyd Jackson Iv 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 Robert Boyd Jackson Iv, LCSW 2275 Brokeshire Dr, White House, TN 37188-1593 Ph: (615) 982-5859	Mr Robert Boyd Jackson Iv, LCSW 2400 White Ave, Nashville, TN 37204-2235 Ph: (615) 460-4171

Reviews and Comments

Social Worker in Nashville, TN

Mr. Lyndell B Stich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1711 19th Ave S, Nashville, TN 37212 Phone: 615-292-6187 Fax: 615-383-4473
Joseph John Kochelek, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 275 Cumberland Bnd, Nashville, TN 37228 Phone: 615-726-3340 Fax: 615-743-1679
Mrs. Susan Langenus Seabourn, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2400 White Ave, Nashville, TN 37204 Phone: 615-460-4200 Fax: 615-460-4202
Juan Toribio Trevino, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 Athens Way Ste 102, Nashville, TN 37228 Phone: 615-320-1155 Fax: 615-320-1177
Ms. Allison Gibson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 402 22nd Avenue North, Nashville, TN 37203 Phone: 615-251-8805
Jeremy Carney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3200 W End Ave, Nashville, TN 37203 Phone: 866-849-0692
Theresa Carrington, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1718 Patterson St, Nashville, TN 37203 Phone: 615-327-1085 Fax: 615-963-4733

Mr Robert Boyd Jackson Iv, LCSW - Medicare Clinical Social Worker in Nashville, TN