Mrs Leah Bianca Jackson, in Colorado Springs, CO - Medicare Social Worker Provider

Mrs Leah Bianca Jackson, is a medicare enrolled "Social Worker - Clinical" provider in Colorado Springs, Colorado. Her current practice location is 1400 E Boulder St, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at (720) 848-9111.

Mrs Leah Bianca Jackson is licensed to practice in Colorado (license number CSW.09929146) 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 1184313447.

Contact Information

	Mrs Leah Bianca Jackson,
	1400 E Boulder St, Colorado Springs, CO 80909-5533
	(720) 848-9111
	(720) 848-5157

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Leah Bianca Jackson
Gender	Female
Speciality	Social Worker - Clinical
Location	1400 E Boulder St, Colorado Springs, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184313447
Provider Enumeration Date: 05/03/2023
Last Update Date: 05/03/2023

Medicare PECOS Information:

PECOS PAC ID: 0941645204
Enrollment ID: I20240227002409

Medical Identifiers

Medical identifiers for Mrs Leah Bianca Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184313447	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW.09929146 (Colorado)	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. Mrs Leah Bianca Jackson allows following entities to bill medicare on her behalf.

Entity Name	Poudre Valley Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122

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. Mrs Leah Bianca 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
Mrs Leah Bianca Jackson, 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071 Ph: () -	Mrs Leah Bianca Jackson, 1400 E Boulder St, Colorado Springs, CO 80909-5533 Ph: (720) 848-9111

Reviews and Comments

Social Worker in Colorado Springs, CO

Mrs. Rebecca May Clinton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6370 Boscomb Pl, Colorado Springs, CO 80922 Phone: 405-474-9630
Mrs. Raquel Dominguez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5373 N Union Blvd Ste 103, Colorado Springs, CO 80918 Phone: 719-644-6131
Robyn Chapel, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3462 Briargate Blvd, Colorado Springs, CO 80920 Phone: 719-233-2866
Mary J Prinz, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 115 Parkside Dr, Colorado Springs, CO 80910 Phone: 719-572-6340 Fax: 719-447-4791
Jill Ann Karsh, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1843 Austin Bluffs Pkwy, Colorado Springs, CO 80918 Phone: 719-660-5351
Mrs. Maggie Levin Ellias, MSS Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5540 Tech Center Dr, Suite 203, Colorado Springs, CO 80919 Phone: 719-548-0100
Mr. Gary Dwayne West, MSW, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2965 Broadmoor Valley Rd, Ste B, Colorado Springs, CO 80906 Phone: 719-576-6617

Mrs Leah Bianca Jackson, - Medicare Clinical Social Worker in Colorado Springs, CO