Ms Laurie Ann Jackson, LCSW R in Rego Park, NY - Medicare Clinical Social Worker Provider

Ms Laurie Ann Jackson, LCSW R is a medicare enrolled "Social Worker - Clinical" provider in Rego Park, New York. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Outreach Development Corporation and her current practice location is 9745 Queens Blvd Ph Floor, Rego Park, New York. You can reach out to her office (for appointments etc.) via phone at (718) 896-9090.

Ms Laurie Ann Jackson is licensed to practice in New York (license number R056949-1) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104907187.

Contact Information

	Ms Laurie Ann Jackson, LCSW R
	9745 Queens Blvd Ph Floor, Rego Park, NY 11374-2101
	(718) 896-9090
	(718) 830-0724

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Laurie Ann Jackson
Gender	Female
Speciality	Clinical Social Worker
Experience	27 Years
Location	9745 Queens Blvd Ph Floor, Rego Park, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Laurie Ann Jackson graduated from medical school in 1997

NPI Data:

NPI Number: 1104907187
Provider Enumeration Date: 10/18/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 6709072754
Enrollment ID: I20101202000303

Medical Identifiers

Medical identifiers for Ms Laurie Ann Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104907187	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	R056949-1 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Outreach Development Corporation	1355323270	4

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. Ms Laurie Ann Jackson allows following entities to bill medicare on her behalf.

Entity Name	Outreach Development Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083717326 PECOS PAC ID: 1355323270 Enrollment ID: O20040603001529

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. Ms Laurie Ann 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
Ms Laurie Ann Jackson, LCSW R 16832 127th Ave Apt 6, Jamaica, NY 11434-3156 Ph: (718) 525-4864	Ms Laurie Ann Jackson, LCSW R 9745 Queens Blvd Ph Floor, Rego Park, NY 11374-2101 Ph: (718) 896-9090

Reviews and Comments

Social Worker in Rego Park, NY

Jamila Aisha Cooper, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9777 Queens Blvd, Ph, Rego Park, NY 11374 Phone: 718-830-9274 Fax: 718-820-9276
Mrs. Eileen Nora Rella, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9745 Queens Blvd, Rego Park, NY 11374 Phone: 718-830-9274
Luis A Villanueva, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 98120 Queens Blvd, Rego Park, NY 11374 Phone: 774-608-0001
Kishauna Sinclair, LMSW, CASAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 98120 Queens Blvd, Rego Park, NY 11374 Phone: 718-830-0246
Mr. Alan Weinberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6353 Haring St Apt 604, Rego Park, NY 11374 Phone: 718-896-5837
Mrs. Esther Epstein Cooper, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9729 64th Rd, Rego Park, NY 11374 Phone: 718-896-3400 Fax: 718-459-5621
Margarita Shakhmurov, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9876 Queens Blvd, Suite 1c, Rego Park, NY 11374 Phone: 917-846-2538 Fax: 516-295-0828

Ms Laurie Ann Jackson, LCSW R - Medicare Clinical Social Worker in Rego Park, NY